How much rates vary
Facilitymedian $2,630 · 10th to 90th $708 to $3,890Professionalmedian $234 · 10th to 90th $178 to $324
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 $234.42 Median $234.42 Typical High $707.95 | Facility | None | $234.42 | $234.42 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $234.42 Typical High $302.00 | Professional | None (both parts) | $151.36 | $234.42 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $120.23 Typical High $120.23 | Professional | 26 · Professional part | $74.13 | $120.23 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $112.20 Typical High $213.80 | Professional | TC · Technical part | $66.07 | $112.20 | $213.80 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $144.54 Typical High $144.54 | Professional | 26 · Professional part | $102.33 | $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 $213.80 Median $213.80 Typical High $275.42 | Professional | None (both parts) | $213.80 | $213.80 | $275.42 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $120.23 Typical High $151.36 | Professional | 26 · Professional part | $120.23 | $120.23 | $151.36 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $120.23 | Professional | TC · Technical part | $93.33 | $93.33 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $2,691.53 Typical High $4,786.30 | Facility | None | $229.09 | $2,691.53 | $4,786.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $204.17 Typical High $630.96 | Professional | None (both parts) | $144.54 | $204.17 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $77.62 Typical High $169.82 | Professional | 26 · Professional part | $61.66 | $77.62 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $138.04 Typical High $537.03 | Professional | TC · Technical part | $63.10 | $138.04 | $537.03 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $131.83 | $131.83 | $131.83 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $165.96 Typical High $165.96 | Professional | 26 · Professional part | $95.50 | $165.96 | $165.96 |
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 $162.18 Median $263.03 Typical High $645.65 | Professional | None (both parts) | $162.18 | $263.03 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $97.72 Typical High $177.83 | Professional | 26 · Professional part | $66.07 | $97.72 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $128.82 Typical High $489.78 | Professional | TC · Technical part | $70.79 | $128.82 | $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 $72.44 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $72.44 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $28.84 | $46.77 | $46.77 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | 59 · Distinct service | $251.19 | $251.19 | $251.19 |
Qualchoice Setting Professional Modifier 59 · Distinct service Typical Low $288.40 Median $288.40 Typical High $309.03 | Professional | 59 · Distinct service | $288.40 | $288.40 | $309.03 |
Where Arkansas sits
The same service costs 5.1 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· 28th of 51
$245
AK $513UT $100
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.