How much rates vary
Facilitymedian $457 · 10th to 90th $457 to $676Professionalmedian $407 · 10th to 90th $324 to $537
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 $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $407.38 Typical High $407.38 | Professional | None (both parts) | $338.84 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $43.65 | $58.88 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $346.74 Typical High $346.74 | Professional | TC · Technical part | $295.12 | $346.74 | $346.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $524.81 | Professional | None (both parts) | $467.74 | $467.74 | $524.81 |
BCBS Arkansas Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $645.65 | Facility | None | $457.09 | $457.09 | $645.65 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $331.13 Median $363.08 Typical High $436.52 | Professional | None (both parts) | $331.13 | $363.08 | $436.52 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $52.48 Typical High $63.10 | Professional | 26 · Professional part | $47.86 | $52.48 | $63.10 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $309.03 Typical High $371.54 | Professional | TC · Technical part | $281.84 | $309.03 | $371.54 |
CareSource Setting Professional Modifier None (both parts) Typical Low $57.54 Median $398.11 Typical High $524.81 | Professional | None (both parts) | $57.54 | $398.11 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $467.74 Typical High $467.74 | Facility | None | $331.13 | $467.74 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $354.81 Typical High $537.03 | Professional | None (both parts) | $295.12 | $354.81 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $50.12 Typical High $77.62 | Professional | 26 · Professional part | $43.65 | $50.12 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $302.00 Typical High $457.09 | Professional | TC · Technical part | $251.19 | $302.00 | $457.09 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $537.03 Median $537.03 Typical High $602.56 | Professional | None (both parts) | $537.03 | $537.03 | $602.56 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,412.54 Typical High $2,570.40 | Facility | None | $1,122.02 | $1,412.54 | $2,570.40 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $354.81 Typical High $645.65 | Professional | None (both parts) | $281.84 | $354.81 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $53.70 Typical High $89.13 | Professional | 26 · Professional part | $38.90 | $53.70 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $309.03 Typical High $575.44 | Professional | TC · Technical part | $234.42 | $309.03 | $575.44 |
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 $177.83 Median $204.17 Typical High $204.17 | Professional | 52 · Reduced service | $177.83 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $81.28 Typical High $81.28 | Professional | 53 · Discontinued | $70.79 | $81.28 | $81.28 |
Where Arkansas sits
The same service costs 3.0 times more in Alaska than in New Mexico. 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· 21st of 51
$437
AK $813NM $275
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.