How much rates vary
Facilitymedian $138 · 10th to 90th $138 to $195Professionalmedian $100 · 10th to 90th $72 to $120
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 $66.07 Median $100.00 Typical High $100.00 | Facility | None | $66.07 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $100.00 Typical High $104.71 | Professional | None (both parts) | $93.33 | $100.00 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $34.67 | $43.65 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $69.18 | Professional | TC · Technical part | $54.95 | $54.95 | $69.18 |
BCBS Arkansas Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $194.98 | Facility | None | $138.04 | $138.04 | $194.98 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $91.20 Median $100.00 Typical High $120.23 | Professional | None (both parts) | $91.20 | $100.00 | $120.23 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $41.69 Typical High $50.12 | Professional | 26 · Professional part | $37.15 | $41.69 | $50.12 |
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 $43.65 Median $87.10 Typical High $147.91 | Professional | None (both parts) | $43.65 | $87.10 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $151.36 Typical High $194.98 | Facility | None | $104.71 | $151.36 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $77.62 Typical High $151.36 | Professional | None (both parts) | $72.44 | $77.62 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.02 Typical High $63.10 | Professional | 26 · Professional part | $33.11 | $38.02 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $39.81 Typical High $97.72 | Professional | TC · Technical part | $31.62 | $39.81 | $97.72 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $67.61 | $67.61 | $67.61 |
United Setting Facility Modifier None Typical Low $169.82 Median $208.93 Typical High $380.19 | Facility | None | $169.82 | $208.93 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $85.11 Typical High $177.83 | Professional | None (both parts) | $48.98 | $85.11 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $37.15 Typical High $66.07 | Professional | 26 · Professional part | $28.84 | $37.15 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $52.48 Typical High $114.82 | Professional | TC · Technical part | $17.38 | $52.48 | $114.82 |
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 $48.98 Median $48.98 Typical High $52.48 | Professional | 52 · Reduced service | $48.98 | $48.98 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.95 Typical High $20.89 | Professional | 53 · Discontinued | $19.50 | $19.95 | $20.89 |
Where Arkansas sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 32nd of 51
$100
AK $229KY $64.57
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.