How much rates vary
Facilitymedian $2,630 · 10th to 90th $661 to $3,890Professionalmedian $204 · 10th to 90th $162 to $295
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 $204.17 Median $204.17 Typical High $691.83 | Facility | None | $204.17 | $204.17 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $204.17 Typical High $257.04 | Professional | None (both parts) | $134.90 | $204.17 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $66.07 | $107.15 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $97.72 Typical High $186.21 | Professional | TC · Technical part | $61.66 | $97.72 | $186.21 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $144.54 | $144.54 | $144.54 |
BCBS Arkansas Setting Facility Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $3,630.78 | Facility | None | $2,630.27 | $2,630.27 | $3,630.78 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $239.88 | Professional | None (both parts) | $186.21 | $186.21 | $239.88 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $128.82 | Professional | 26 · Professional part | $100.00 | $100.00 | $128.82 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $109.65 | Professional | TC · Technical part | $87.10 | $87.10 | $109.65 |
CareSource Setting Professional Modifier None (both parts) Typical Low $72.44 Median $107.15 Typical High $218.78 | Professional | None (both parts) | $72.44 | $107.15 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $2,691.53 Typical High $4,786.30 | Facility | None | $199.53 | $2,691.53 | $4,786.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $173.78 Typical High $645.65 | Professional | None (both parts) | $128.82 | $173.78 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $67.61 Typical High $151.36 | Professional | 26 · Professional part | $53.70 | $67.61 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $114.82 Typical High $489.78 | Professional | TC · Technical part | $61.66 | $114.82 | $489.78 |
United Setting Facility Modifier None Typical Low $4,168.69 Median $5,128.61 Typical High $9,332.54 | Facility | None | $4,168.69 | $5,128.61 | $9,332.54 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $234.42 Typical High $630.96 | Professional | None (both parts) | $151.36 | $234.42 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $89.13 Typical High $158.49 | Professional | 26 · Professional part | $57.54 | $89.13 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $123.03 Typical High $489.78 | Professional | TC · Technical part | $69.18 | $123.03 | $489.78 |
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 $66.07 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $66.07 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $26.92 | $40.74 | $40.74 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 59 · Distinct service | $229.09 | $229.09 | $229.09 |
Qualchoice Setting Professional Modifier 59 · Distinct service Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | 59 · Distinct service | $263.03 | $263.03 | $263.03 |
Where Arkansas sits
The same service costs 4.1 times more in Alaska than in Texas. 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· 28th of 51
$214
AK $468TX $115
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.