How much rates vary
Facilitymedian $51 · 10th to 90th $39 to $74Professionalmedian $59 · 10th to 90th $37 to $100
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 $79.43 Median $79.43 Typical High $162.18 | Facility | None | $79.43 | $79.43 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $79.43 Typical High $120.23 | Professional | None (both parts) | $56.23 | $79.43 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $35.48 Typical High $63.10 | Professional | 26 · Professional part | $22.91 | $35.48 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $44.67 Typical High $74.13 | Professional | TC · Technical part | $33.11 | $44.67 | $74.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $50.12 Median $58.88 Typical High $100.00 | Professional | None (both parts) | $50.12 | $58.88 | $100.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $43.65 | Professional | 26 · Professional part | $28.18 | $28.18 | $43.65 |
BCBS Arkansas Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $70.79 | Facility | None | $51.29 | $51.29 | $70.79 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $56.23 Median $56.23 Typical High $83.18 | Professional | None (both parts) | $56.23 | $56.23 | $83.18 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $38.02 | Professional | 26 · Professional part | $25.12 | $25.12 | $38.02 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $30.90 Typical High $45.71 | Professional | TC · Technical part | $30.90 | $30.90 | $45.71 |
CareSource Setting Professional Modifier None (both parts) Typical Low $24.55 Median $33.88 Typical High $58.88 | Professional | None (both parts) | $24.55 | $33.88 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $40.74 Typical High $74.13 | Facility | None | $30.20 | $40.74 | $74.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $33.88 Typical High $114.82 | Professional | None (both parts) | $33.88 | $33.88 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.22 Typical High $63.10 | Professional | 26 · Professional part | $16.22 | $16.22 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $18.62 Typical High $58.88 | Professional | TC · Technical part | $17.78 | $18.62 | $58.88 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $57.54 Median $67.61 Typical High $114.82 | Professional | None (both parts) | $57.54 | $67.61 | $114.82 |
United Setting Facility Modifier None Typical Low $69.18 Median $85.11 Typical High $154.88 | Facility | None | $69.18 | $85.11 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $36.31 Median $57.54 Typical High $128.82 | Professional | None (both parts) | $36.31 | $57.54 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $27.54 Typical High $74.13 | Professional | 26 · Professional part | $16.60 | $27.54 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $27.54 Typical High $56.23 | Professional | TC · Technical part | $20.42 | $27.54 | $56.23 |
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 $28.18 Median $39.81 Typical High $39.81 | Professional | 52 · Reduced service | $28.18 | $39.81 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $15.85 Typical High $15.85 | Professional | 53 · Discontinued | $11.22 | $15.85 | $15.85 |
Where Arkansas sits
The same service costs 3.6 times more in Wisconsin than in Alabama. 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· 45th of 51
$57.54
WI $155AL $42.66
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.