How much rates vary
Facilitymedian $76 · 10th to 90th $35 to $107Professionalmedian $35 · 10th to 90th $27 to $46
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 $30.90 Median $30.90 Typical High $35.48 | Facility | None | $30.90 | $30.90 | $35.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $30.90 Typical High $41.69 | Professional | None (both parts) | $24.55 | $30.90 | $41.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $9.77 Typical High $11.75 | Professional | 26 · Professional part | $6.76 | $9.77 | $11.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $20.89 Typical High $29.51 | Professional | TC · Technical part | $17.78 | $20.89 | $29.51 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $32.36 Median $39.81 Typical High $43.65 | Professional | None (both parts) | $32.36 | $39.81 | $43.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.59 Typical High $18.62 | Professional | 26 · Professional part | $12.02 | $12.59 | $18.62 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $26.30 Typical High $30.90 | Professional | TC · Technical part | $21.88 | $26.30 | $30.90 |
BCBS Arkansas Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $104.71 | Facility | None | $75.86 | $75.86 | $104.71 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $31.62 Median $31.62 Typical High $40.74 | Professional | None (both parts) | $31.62 | $31.62 | $40.74 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $9.77 Typical High $12.59 | Professional | 26 · Professional part | $9.77 | $9.77 | $12.59 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $21.88 Typical High $27.54 | Professional | TC · Technical part | $21.88 | $21.88 | $27.54 |
CareSource Setting Professional Modifier None (both parts) Typical Low $9.55 Median $25.12 Typical High $40.74 | Professional | None (both parts) | $9.55 | $25.12 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $60.26 Typical High $134.90 | Facility | None | $27.54 | $60.26 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $28.84 Typical High $52.48 | Professional | None (both parts) | $23.44 | $28.84 | $52.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $8.13 Typical High $15.14 | Professional | 26 · Professional part | $6.46 | $8.13 | $15.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $19.05 Typical High $35.48 | Professional | TC · Technical part | $16.60 | $19.05 | $35.48 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $37.15 Median $50.12 Typical High $50.12 | Professional | None (both parts) | $37.15 | $50.12 | $50.12 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $14.45 Typical High $21.38 | Professional | 26 · Professional part | $11.48 | $14.45 | $21.38 |
Qualchoice Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $30.20 Typical High $35.48 | Professional | TC · Technical part | $25.70 | $30.20 | $35.48 |
United Setting Facility Modifier None Typical Low $114.82 Median $141.25 Typical High $257.04 | Facility | None | $114.82 | $141.25 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $24.55 Median $28.84 Typical High $50.12 | Professional | None (both parts) | $24.55 | $28.84 | $50.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.71 Typical High $14.45 | Professional | 26 · Professional part | $7.08 | $8.71 | $14.45 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $20.42 Typical High $37.15 | Professional | TC · Technical part | $17.38 | $20.42 | $37.15 |
4 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 $12.30 Median $15.49 Typical High $15.49 | Professional | 52 · Reduced service | $12.30 | $15.49 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $6.17 Typical High $6.17 | Professional | 53 · Discontinued | $4.90 | $6.17 | $6.17 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $39.81 Median $54.95 Typical High $54.95 | Professional | 50 · Both sides | $39.81 | $54.95 | $54.95 |
Qualchoice Setting Professional Modifier 50 · Both sides Typical Low $45.71 Median $64.57 Typical High $64.57 | Professional | 50 · Both sides | $45.71 | $64.57 | $64.57 |
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
$37.15
AK $83.18FL $22.39
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.