How much rates vary
Facilitymedian $195 · 10th to 90th $174 to $363Professionalmedian $309 · 10th to 90th $214 to $389
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 $309.03 Median $380.19 Typical High $1,000.00 | Facility | None | $309.03 | $380.19 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $309.03 Typical High $398.11 | Professional | None (both parts) | $245.47 | $309.03 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $85.11 Typical High $97.72 | Professional | 26 · Professional part | $58.88 | $85.11 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $218.78 Typical High $295.12 | Professional | TC · Technical part | $181.97 | $218.78 | $295.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $346.74 Median $380.19 Typical High $380.19 | Professional | None (both parts) | $346.74 | $380.19 | $380.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $93.33 | Professional | 26 · Professional part | $87.10 | $87.10 | $93.33 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | TC · Technical part | $257.04 | $257.04 | $257.04 |
BCBS Arkansas Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $239.88 | Facility | None | $173.78 | $173.78 | $239.88 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $331.13 | Professional | None (both parts) | $257.04 | $257.04 | $331.13 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $87.10 | Professional | 26 · Professional part | $69.18 | $69.18 | $87.10 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $239.88 | Professional | TC · Technical part | $186.21 | $186.21 | $239.88 |
CareSource Setting Professional Modifier None (both parts) Typical Low $70.79 Median $208.93 Typical High $331.13 | Professional | None (both parts) | $70.79 | $208.93 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $338.84 Typical High $363.08 | Facility | None | $83.18 | $338.84 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $263.03 Typical High $489.78 | Professional | None (both parts) | $190.55 | $263.03 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $57.54 Typical High $120.23 | Professional | 26 · Professional part | $46.77 | $57.54 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $194.98 Typical High $380.19 | Professional | TC · Technical part | $144.54 | $194.98 | $380.19 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $398.11 Median $436.52 Typical High $436.52 | Professional | None (both parts) | $398.11 | $436.52 | $436.52 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $107.15 | Professional | 26 · Professional part | $100.00 | $100.00 | $107.15 |
Qualchoice Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | TC · Technical part | $295.12 | $295.12 | $295.12 |
United Setting Facility Modifier None Typical Low $229.09 Median $288.40 Typical High $524.81 | Facility | None | $229.09 | $288.40 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $309.03 Typical High $478.63 | Professional | None (both parts) | $213.80 | $309.03 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $61.66 Typical High $109.65 | Professional | 26 · Professional part | $51.29 | $61.66 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $239.88 Typical High $371.54 | Professional | TC · Technical part | $158.49 | $239.88 | $371.54 |
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 $138.04 Median $151.36 Typical High $162.18 | Professional | 52 · Reduced service | $138.04 | $151.36 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $61.66 Typical High $64.57 | Professional | 53 · Discontinued | $54.95 | $61.66 | $64.57 |
Where Arkansas sits
The same service costs 4.4 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· 30th of 51
$295
AK $776UT $178
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.