How much rates vary
Facilitymedian $120 · 10th to 90th $107 to $170Professionalmedian $145 · 10th to 90th $117 to $186
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 $125.89 Median $144.54 Typical High $165.96 | Facility | None | $125.89 | $144.54 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $144.54 Typical High $165.96 | Professional | None (both parts) | $102.33 | $144.54 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $43.65 Typical High $50.12 | Professional | 26 · Professional part | $29.51 | $43.65 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $100.00 Typical High $114.82 | Professional | TC · Technical part | $72.44 | $100.00 | $114.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $125.89 Median $158.49 Typical High $186.21 | Professional | None (both parts) | $125.89 | $158.49 | $186.21 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $52.48 Typical High $54.95 | Professional | 26 · Professional part | $44.67 | $52.48 | $54.95 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $114.82 Typical High $134.90 | Professional | TC · Technical part | $107.15 | $114.82 | $134.90 |
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 $169.82 | Professional | None (both parts) | $134.90 | $134.90 | $169.82 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $52.48 | Professional | 26 · Professional part | $40.74 | $40.74 | $52.48 |
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 $32.36 Median $100.00 Typical High $144.54 | Professional | None (both parts) | $32.36 | $100.00 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $144.54 Typical High $181.97 | Facility | None | $89.13 | $144.54 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $125.89 Typical High $218.78 | Professional | None (both parts) | $97.72 | $125.89 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $36.31 Typical High $67.61 | Professional | 26 · Professional part | $28.18 | $36.31 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $89.13 Typical High $154.88 | Professional | TC · Technical part | $66.07 | $89.13 | $154.88 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $173.78 Median $204.17 Typical High $213.80 | Professional | None (both parts) | $173.78 | $204.17 | $213.80 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $60.26 Typical High $64.57 | Professional | 26 · Professional part | $41.69 | $60.26 | $64.57 |
Qualchoice Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $125.89 Typical High $154.88 | Professional | TC · Technical part | $107.15 | $125.89 | $154.88 |
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 $100.00 Median $125.89 Typical High $218.78 | Professional | None (both parts) | $100.00 | $125.89 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $37.15 Typical High $66.07 | Professional | 26 · Professional part | $31.62 | $37.15 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $89.13 Typical High $154.88 | Professional | TC · Technical part | $72.44 | $89.13 | $154.88 |
3 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 $51.29 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $51.29 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $20.42 | $28.84 | $28.84 |
Ambetter 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 3.6 times more in Alaska 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
$145
AK $355FL $97.72
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.