How much rates vary
Facilitymedian $107 · 10th to 90th $93 to $162Professionalmedian $107 · 10th to 90th $85 to $135
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 $87.10 Median $102.33 Typical High $117.49 | Facility | None | $87.10 | $102.33 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $102.33 Typical High $114.82 | Professional | None (both parts) | $75.86 | $102.33 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $40.74 Typical High $46.77 | Professional | 26 · Professional part | $27.54 | $40.74 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $60.26 Typical High $69.18 | Professional | TC · Technical part | $44.67 | $60.26 | $69.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $107.15 Median $125.89 Typical High $131.83 | Professional | None (both parts) | $107.15 | $125.89 | $131.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $50.12 Typical High $52.48 | Professional | 26 · Professional part | $42.66 | $50.12 | $52.48 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $79.43 | Professional | TC · Technical part | $64.57 | $64.57 | $79.43 |
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 $93.33 Median $93.33 Typical High $120.23 | Professional | None (both parts) | $93.33 | $93.33 | $120.23 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $48.98 | Professional | 26 · Professional part | $38.02 | $38.02 | $48.98 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | TC · Technical part | $54.95 | $54.95 | $70.79 |
CareSource Setting Professional Modifier None (both parts) Typical Low $30.20 Median $60.26 Typical High $100.00 | Professional | None (both parts) | $30.20 | $60.26 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $100.00 Typical High $181.97 | Facility | None | $57.54 | $100.00 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $91.20 Typical High $151.36 | Professional | None (both parts) | $67.61 | $91.20 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $34.67 Typical High $63.10 | Professional | 26 · Professional part | $22.39 | $34.67 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $56.23 Typical High $91.20 | Professional | TC · Technical part | $41.69 | $56.23 | $91.20 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $123.03 Median $144.54 Typical High $151.36 | Professional | None (both parts) | $123.03 | $144.54 | $151.36 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $57.54 Typical High $61.66 | Professional | 26 · Professional part | $48.98 | $57.54 | $61.66 |
Qualchoice Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $77.62 Typical High $91.20 | Professional | TC · Technical part | $74.13 | $77.62 | $91.20 |
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 $74.13 Median $93.33 Typical High $151.36 | Professional | None (both parts) | $74.13 | $93.33 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $34.67 Typical High $61.66 | Professional | 26 · Professional part | $29.51 | $34.67 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $58.88 Typical High $91.20 | Professional | TC · Technical part | $44.67 | $58.88 | $91.20 |
2 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 $33.88 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $33.88 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $20.42 Typical High $20.42 | Professional | 53 · Discontinued | $13.80 | $20.42 | $20.42 |
Where Arkansas sits
The same service costs 3.6 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· 19th of 51
$107
AK $245TX $67.61
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.