How much rates vary
Facilitymedian $107 · 10th to 90th $35 to $148Professionalmedian $37 · 10th to 90th $28 to $49
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 $33.11 Median $33.11 Typical High $35.48 | Facility | None | $33.11 | $33.11 | $35.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $33.11 Typical High $43.65 | Professional | None (both parts) | $25.12 | $33.11 | $43.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $10.47 Typical High $13.49 | Professional | 26 · Professional part | $7.08 | $10.47 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $22.39 Typical High $31.62 | Professional | TC · Technical part | $18.20 | $22.39 | $31.62 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $39.81 Median $40.74 Typical High $47.86 | Professional | None (both parts) | $39.81 | $40.74 | $47.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $13.18 Typical High $19.50 | Professional | 26 · Professional part | $12.88 | $13.18 | $19.50 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $29.51 Typical High $34.67 | Professional | TC · Technical part | $21.88 | $29.51 | $34.67 |
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 $33.88 Median $33.88 Typical High $43.65 | Professional | None (both parts) | $33.88 | $33.88 | $43.65 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $13.49 | Professional | 26 · Professional part | $10.47 | $10.47 | $13.49 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $23.44 Typical High $30.20 | Professional | TC · Technical part | $23.44 | $23.44 | $30.20 |
CareSource Setting Professional Modifier None (both parts) Typical Low $10.47 Median $27.54 Typical High $44.67 | Professional | None (both parts) | $10.47 | $27.54 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $60.26 Typical High $181.97 | Facility | None | $30.90 | $60.26 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $30.20 Typical High $53.70 | Professional | None (both parts) | $23.99 | $30.20 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.91 Typical High $16.22 | Professional | 26 · Professional part | $7.08 | $8.91 | $16.22 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $20.89 Typical High $37.15 | Professional | TC · Technical part | $16.98 | $20.89 | $37.15 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $38.02 Median $52.48 Typical High $54.95 | Professional | None (both parts) | $38.02 | $52.48 | $54.95 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $15.14 Typical High $22.39 | Professional | 26 · Professional part | $12.59 | $15.14 | $22.39 |
Qualchoice Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $33.88 Typical High $60.26 | Professional | TC · Technical part | $25.12 | $33.88 | $60.26 |
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 $25.70 Median $31.62 Typical High $54.95 | Professional | None (both parts) | $25.70 | $31.62 | $54.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.12 Typical High $15.85 | Professional | 26 · Professional part | $7.59 | $9.12 | $15.85 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $21.88 Typical High $39.81 | Professional | TC · Technical part | $17.78 | $21.88 | $39.81 |
6 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 $13.18 Median $16.60 Typical High $16.60 | Professional | 52 · Reduced service | $13.18 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $6.61 Typical High $6.61 | Professional | 53 · Discontinued | $5.25 | $6.61 | $6.61 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $39.81 Median $60.26 Typical High $60.26 | Professional | 50 · Both sides | $39.81 | $60.26 | $60.26 |
Ambetter Setting Professional Modifier 52 · Reduced service Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | 52 · Reduced service | $12.02 | $12.02 | $12.02 |
Qualchoice Setting Professional Modifier 50 · Both sides Typical Low $38.02 Median $69.18 Typical High $69.18 | Professional | 50 · Both sides | $38.02 | $69.18 | $69.18 |
Qualchoice Setting Professional Modifier 52 · Reduced service Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | 52 · Reduced service | $13.80 | $13.80 | $13.80 |
Where Arkansas sits
The same service costs 3.7 times more in Alaska than in Florida. 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
$39.81
AK $91.20FL $24.55
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.