How much rates vary
Facilitymedian $107 · 10th to 90th $91 to $148Professionalmedian $138 · 10th to 90th $110 to $178
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 $117.49 Median $138.04 Typical High $138.04 | Facility | None | $117.49 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $138.04 Typical High $151.36 | Professional | None (both parts) | $93.33 | $138.04 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $54.95 Typical High $61.66 | Professional | 26 · Professional part | $36.31 | $54.95 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $83.18 Typical High $93.33 | Professional | TC · Technical part | $57.54 | $83.18 | $93.33 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $144.54 Median $169.82 Typical High $177.83 | Professional | None (both parts) | $144.54 | $169.82 | $177.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $66.07 Typical High $69.18 | Professional | 26 · Professional part | $57.54 | $66.07 | $69.18 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $104.71 Typical High $109.65 | Professional | TC · Technical part | $93.33 | $104.71 | $109.65 |
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 $51.29 Median $51.29 Typical High $64.57 | Professional | 26 · Professional part | $51.29 | $51.29 | $64.57 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $97.72 | Professional | TC · Technical part | $75.86 | $75.86 | $97.72 |
CareSource Setting Professional Modifier None (both parts) Typical Low $39.81 Median $81.28 Typical High $134.90 | Professional | None (both parts) | $39.81 | $81.28 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $107.15 Typical High $181.97 | Facility | None | $57.54 | $107.15 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $117.49 Typical High $204.17 | Professional | None (both parts) | $87.10 | $117.49 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $45.71 Typical High $83.18 | Professional | 26 · Professional part | $28.84 | $45.71 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $70.79 Typical High $123.03 | Professional | TC · Technical part | $53.70 | $70.79 | $123.03 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $165.96 Median $169.82 Typical High $194.98 | Professional | None (both parts) | $165.96 | $169.82 | $194.98 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $66.07 Typical High $79.43 | Professional | 26 · Professional part | $64.57 | $66.07 | $79.43 |
Qualchoice Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $120.23 Typical High $125.89 | Professional | TC · Technical part | $104.71 | $120.23 | $125.89 |
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 $114.82 Typical High $204.17 | Professional | None (both parts) | $97.72 | $114.82 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $45.71 Typical High $79.43 | Professional | 26 · Professional part | $38.90 | $45.71 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $72.44 Typical High $125.89 | Professional | TC · Technical part | $58.88 | $72.44 | $125.89 |
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 $45.71 Median $69.18 Typical High $69.18 | Professional | 52 · Reduced service | $45.71 | $69.18 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $18.62 | $27.54 | $27.54 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $169.82 Median $169.82 Typical High $177.83 | Professional | 59 · Distinct service | $169.82 | $169.82 | $177.83 |
Qualchoice Setting Professional Modifier 59 · Distinct service Typical Low $169.82 Median $194.98 Typical High $204.17 | Professional | 59 · Distinct service | $169.82 | $194.98 | $204.17 |
Where Arkansas sits
The same service costs 4.6 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· 20th of 51
$138
AK $331UT $72.44
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.