How much rates vary
Facilitymedian $120 · 10th to 90th $107 to $170Professionalmedian $148 · 10th to 90th $123 to $195
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 $123.03 Median $144.54 Typical High $165.96 | Facility | None | $123.03 | $144.54 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $144.54 Typical High $162.18 | Professional | None (both parts) | $104.71 | $144.54 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $51.29 Typical High $58.88 | Professional | 26 · Professional part | $34.67 | $51.29 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $95.50 Typical High $109.65 | Professional | TC · Technical part | $69.18 | $95.50 | $109.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $147.91 Median $173.78 Typical High $190.55 | Professional | None (both parts) | $147.91 | $173.78 | $190.55 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $61.66 Typical High $66.07 | Professional | 26 · Professional part | $58.88 | $61.66 | $66.07 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $128.82 | Professional | TC · Technical part | $114.82 | $114.82 | $128.82 |
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 $134.90 Median $134.90 Typical High $173.78 | Professional | None (both parts) | $134.90 | $134.90 | $173.78 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $61.66 | Professional | 26 · Professional part | $47.86 | $47.86 | $61.66 |
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 $37.15 Median $91.20 Typical High $144.54 | Professional | None (both parts) | $37.15 | $91.20 | $144.54 |
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 $95.50 Median $141.25 Typical High $223.87 | Professional | None (both parts) | $95.50 | $141.25 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $42.66 Typical High $77.62 | Professional | 26 · Professional part | $32.36 | $42.66 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $97.72 Typical High $144.54 | Professional | TC · Technical part | $64.57 | $97.72 | $144.54 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $169.82 Median $199.53 Typical High $218.78 | Professional | None (both parts) | $169.82 | $199.53 | $218.78 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $70.79 Typical High $77.62 | Professional | 26 · Professional part | $69.18 | $70.79 | $77.62 |
Qualchoice Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $147.91 | Professional | TC · Technical part | $131.83 | $131.83 | $147.91 |
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 $107.15 Median $138.04 Typical High $218.78 | Professional | None (both parts) | $107.15 | $138.04 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $43.65 Typical High $75.86 | Professional | 26 · Professional part | $37.15 | $43.65 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $93.33 Typical High $141.25 | Professional | TC · Technical part | $70.79 | $93.33 | $141.25 |
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 $50.12 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $50.12 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $19.95 | $29.51 | $29.51 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 59 · Distinct service | $173.78 | $173.78 | $173.78 |
Qualchoice Setting Professional Modifier 59 · Distinct service Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 59 · Distinct service | $199.53 | $199.53 | $199.53 |
Where Arkansas sits
The same service costs 3.8 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· 22nd of 51
$148
AK $355TX $93.33
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.