How much rates vary
Facilitymedian $55 · 10th to 90th $55 to $76Professionalmedian $105 · 10th to 90th $95 to $191
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 $102.33 Median $102.33 Typical High $645.65 | Facility | None | $102.33 | $102.33 | $645.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $102.33 Typical High $154.88 | Professional | None (both parts) | $85.11 | $102.33 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $51.29 | Professional | 26 · Professional part | $21.88 | $21.88 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $79.43 Typical High $128.82 | Professional | TC · Technical part | $46.77 | $79.43 | $128.82 |
BCBS Arkansas Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $75.86 | Facility | None | $54.95 | $54.95 | $75.86 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $123.03 | Professional | None (both parts) | $95.50 | $95.50 | $123.03 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $27.54 | Professional | 26 · Professional part | $21.38 | $21.38 | $27.54 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $95.50 | Professional | TC · Technical part | $74.13 | $74.13 | $95.50 |
CareSource Setting Professional Modifier None (both parts) Typical Low $44.67 Median $70.79 Typical High $141.25 | Professional | None (both parts) | $44.67 | $70.79 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $100.00 Typical High $562.34 | Professional | None (both parts) | $75.86 | $100.00 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $23.44 Typical High $77.62 | Professional | 26 · Professional part | $18.62 | $23.44 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $77.62 Typical High $467.74 | Professional | TC · Technical part | $44.67 | $77.62 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $154.88 Typical High $575.44 | Professional | None (both parts) | $95.50 | $154.88 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $46.77 Typical High $91.20 | Professional | 26 · Professional part | $18.20 | $46.77 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $91.20 Typical High $489.78 | Professional | TC · Technical part | $52.48 | $91.20 | $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 $42.66 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $42.66 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $20.42 Typical High $20.42 | Professional | 53 · Discontinued | $17.38 | $20.42 | $20.42 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 59 · Distinct service | $147.91 | $147.91 | $147.91 |
Qualchoice Setting Professional Modifier 59 · Distinct service Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 59 · Distinct service | $169.82 | $169.82 | $169.82 |
Where Arkansas sits
The same service costs 4.0 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· 44th of 51
$102
AK $295TX $74.13
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.