How much rates vary
Facilitymedian $120 · 10th to 90th $107 to $166Professionalmedian $138 · 10th to 90th $110 to $182
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 $109.65 Median $138.04 Typical High $158.49 | Facility | None | $109.65 | $138.04 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $138.04 Typical High $151.36 | Professional | None (both parts) | $95.50 | $138.04 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $35.48 Typical High $40.74 | Professional | 26 · Professional part | $23.99 | $35.48 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $102.33 Typical High $114.82 | Professional | TC · Technical part | $72.44 | $102.33 | $114.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $141.25 Median $165.96 Typical High $181.97 | Professional | None (both parts) | $141.25 | $165.96 | $181.97 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $42.66 Typical High $46.77 | Professional | 26 · Professional part | $35.48 | $42.66 | $46.77 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $138.04 | Professional | TC · Technical part | $123.03 | $123.03 | $138.04 |
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 $125.89 Median $125.89 Typical High $162.18 | Professional | None (both parts) | $125.89 | $125.89 | $162.18 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $42.66 | Professional | 26 · Professional part | $33.11 | $33.11 | $42.66 |
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 |
CareSource Setting Professional Modifier None (both parts) Typical Low $26.30 Median $93.33 Typical High $134.90 | Professional | None (both parts) | $26.30 | $93.33 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $131.83 Typical High $181.97 | Facility | None | $89.13 | $131.83 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $120.23 Typical High $208.93 | Professional | None (both parts) | $89.13 | $120.23 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $29.51 Typical High $54.95 | Professional | 26 · Professional part | $22.39 | $29.51 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $91.20 Typical High $151.36 | Professional | TC · Technical part | $64.57 | $91.20 | $151.36 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $162.18 Median $169.82 Typical High $204.17 | Professional | None (both parts) | $162.18 | $169.82 | $204.17 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $50.12 Typical High $53.70 | Professional | 26 · Professional part | $40.74 | $50.12 | $53.70 |
Qualchoice Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $141.25 Typical High $158.49 | Professional | TC · Technical part | $128.82 | $141.25 | $158.49 |
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 $97.72 Median $117.49 Typical High $204.17 | Professional | None (both parts) | $97.72 | $117.49 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.20 Typical High $53.70 | Professional | 26 · Professional part | $25.70 | $30.20 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $87.10 Typical High $151.36 | Professional | TC · Technical part | $70.79 | $87.10 | $151.36 |
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 $47.86 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $47.86 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $19.05 | $27.54 | $27.54 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | 59 · Distinct service | $165.96 | $165.96 | $165.96 |
Qualchoice Setting Professional Modifier 59 · Distinct service Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 59 · Distinct service | $190.55 | $190.55 | $190.55 |
Where Arkansas sits
The same service costs 4.1 times more in Minnesota 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· 20th of 51
$138
MN $363FL $89.13
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.