How much rates vary
Facilitymedian $117 · 10th to 90th $107 to $240Professionalmedian $257 · 10th to 90th $204 to $324
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 $239.88 Median $380.19 Typical High $1,000.00 | Facility | None | $239.88 | $380.19 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $239.88 Typical High $338.84 | Professional | None (both parts) | $177.83 | $239.88 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $93.33 Typical High $112.20 | Professional | 26 · Professional part | $63.10 | $93.33 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $147.91 Typical High $229.09 | Professional | TC · Technical part | $117.49 | $147.91 | $229.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $97.72 Typical High $104.71 | Professional | 26 · Professional part | $97.72 | $97.72 | $104.71 |
BCBS Arkansas Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $147.91 | Facility | None | $107.15 | $107.15 | $147.91 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $323.59 | Professional | None (both parts) | $257.04 | $257.04 | $323.59 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $97.72 | Professional | 26 · Professional part | $75.86 | $75.86 | $97.72 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $229.09 | Professional | TC · Technical part | $177.83 | $177.83 | $229.09 |
CareSource Setting Professional Modifier None (both parts) Typical Low $79.43 Median $120.23 Typical High $234.42 | Professional | None (both parts) | $79.43 | $120.23 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $199.53 Typical High $331.13 | Facility | None | $48.98 | $199.53 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $229.09 Typical High $416.87 | Professional | None (both parts) | $154.88 | $229.09 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $63.10 Typical High $131.83 | Professional | 26 · Professional part | $51.29 | $63.10 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $154.88 Typical High $281.84 | Professional | TC · Technical part | $100.00 | $154.88 | $281.84 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $281.84 | $281.84 | $281.84 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $112.20 Typical High $120.23 | Professional | 26 · Professional part | $57.54 | $112.20 | $120.23 |
United Setting Facility Modifier None Typical Low $138.04 Median $169.82 Typical High $309.03 | Facility | None | $138.04 | $169.82 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $281.84 Typical High $371.54 | Professional | None (both parts) | $173.78 | $281.84 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $67.61 Typical High $120.23 | Professional | 26 · Professional part | $56.23 | $67.61 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $186.21 Typical High $269.15 | Professional | TC · Technical part | $117.49 | $186.21 | $269.15 |
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 $100.00 Median $120.23 Typical High $151.36 | Professional | 52 · Reduced service | $100.00 | $120.23 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $47.86 Typical High $60.26 | Professional | 53 · Discontinued | $39.81 | $47.86 | $60.26 |
Where Arkansas sits
The same service costs 6.2 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· 24th of 51
$257
AK $646UT $105
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.