How much rates vary
Facilitymedian $263 · 10th to 90th $263 to $380Professionalmedian $148 · 10th to 90th $115 to $170
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $114.82 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $85.11 Typical High $87.10 | Professional | 26 · Professional part | $66.07 | $85.11 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $69.18 Typical High $69.18 | Professional | TC · Technical part | $51.29 | $69.18 | $69.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $194.98 | Professional | None (both parts) | $144.54 | $144.54 | $194.98 |
BCBS Arkansas Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $380.19 | Facility | None | $263.03 | $263.03 | $380.19 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $123.03 Median $134.90 Typical High $162.18 | Professional | None (both parts) | $123.03 | $134.90 | $162.18 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $75.86 Typical High $91.20 | Professional | 26 · Professional part | $69.18 | $75.86 | $91.20 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $57.54 Typical High $69.18 | Professional | TC · Technical part | $52.48 | $57.54 | $69.18 |
CareSource Setting Professional Modifier None (both parts) Typical Low $54.95 Median $97.72 Typical High $162.18 | Professional | None (both parts) | $54.95 | $97.72 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $257.04 Typical High $257.04 | Facility | None | $194.98 | $257.04 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $125.89 Typical High $194.98 | Professional | None (both parts) | $107.15 | $125.89 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $74.13 Typical High $112.20 | Professional | 26 · Professional part | $63.10 | $74.13 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $52.48 Typical High $81.28 | Professional | TC · Technical part | $43.65 | $52.48 | $81.28 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $223.87 | Professional | None (both parts) | $165.96 | $165.96 | $223.87 |
United Setting Facility Modifier None Typical Low $281.84 Median $354.81 Typical High $645.65 | Facility | None | $281.84 | $354.81 | $645.65 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $138.04 Typical High $223.87 | Professional | None (both parts) | $100.00 | $138.04 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $81.28 Typical High $128.82 | Professional | 26 · Professional part | $56.23 | $81.28 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $57.54 Typical High $93.33 | Professional | TC · Technical part | $43.65 | $57.54 | $93.33 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $57.54 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $57.54 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $22.91 | $30.90 | $30.90 |
Where Arkansas sits
The same service costs 3.8 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Arkansas· 15th of 51
$155
AK $275UT $72.44
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.