How much rates vary
Facilitymedian $107 · 10th to 90th $50 to $148Professionalmedian $49 · 10th to 90th $41 to $66
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 $44.67 Median $44.67 Typical High $47.86 | Facility | None | $44.67 | $44.67 | $47.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $44.67 Typical High $58.88 | Professional | None (both parts) | $37.15 | $44.67 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $13.80 Typical High $17.78 | Professional | 26 · Professional part | $10.47 | $13.80 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $30.90 Typical High $39.81 | Professional | TC · Technical part | $26.30 | $30.90 | $39.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $56.23 Median $58.88 Typical High $66.07 | Professional | None (both parts) | $56.23 | $58.88 | $66.07 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $21.38 | Professional | 26 · Professional part | $19.95 | $19.95 | $21.38 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $48.98 | Professional | TC · Technical part | $41.69 | $41.69 | $48.98 |
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 $46.77 Median $46.77 Typical High $58.88 | Professional | None (both parts) | $46.77 | $46.77 | $58.88 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $17.38 | Professional | 26 · Professional part | $13.49 | $13.49 | $17.38 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $32.36 Typical High $41.69 | Professional | TC · Technical part | $32.36 | $32.36 | $41.69 |
CareSource Setting Professional Modifier None (both parts) Typical Low $15.85 Median $36.31 Typical High $60.26 | Professional | None (both parts) | $15.85 | $36.31 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $60.26 Typical High $181.97 | Facility | None | $39.81 | $60.26 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $42.66 Typical High $72.44 | Professional | None (both parts) | $33.88 | $42.66 | $72.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.02 Typical High $24.55 | Professional | 26 · Professional part | $9.77 | $12.02 | $24.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $30.90 Typical High $47.86 | Professional | TC · Technical part | $23.44 | $30.90 | $47.86 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $64.57 Median $67.61 Typical High $75.86 | Professional | None (both parts) | $64.57 | $67.61 | $75.86 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $22.91 Typical High $22.91 | Professional | 26 · Professional part | $16.60 | $22.91 | $22.91 |
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 $36.31 Median $42.66 Typical High $74.13 | Professional | None (both parts) | $36.31 | $42.66 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $13.80 Typical High $23.99 | Professional | 26 · Professional part | $10.23 | $13.80 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $29.51 Typical High $51.29 | Professional | TC · Technical part | $23.99 | $29.51 | $51.29 |
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 $18.62 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $18.62 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $7.41 | $8.91 | $8.91 |
Where Arkansas sits
The same service costs 3.7 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· 19th of 51
$56.23
AK $123UT $33.11
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.