How much rates vary
Facilitymedian $58 · 10th to 90th $51 to $129Professionalmedian $93 · 10th to 90th $65 to $126
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 $95.50 Median $112.20 Typical High $128.82 | Facility | None | $95.50 | $112.20 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $112.20 Typical High $204.17 | Professional | None (both parts) | $100.00 | $112.20 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $33.88 Typical High $44.67 | Professional | 26 · Professional part | $23.99 | $33.88 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $77.62 Typical High $165.96 | Professional | TC · Technical part | $72.44 | $77.62 | $165.96 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $81.28 Median $100.00 Typical High $151.36 | Professional | None (both parts) | $81.28 | $100.00 | $151.36 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $42.66 | Professional | 26 · Professional part | $26.92 | $26.92 | $42.66 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $75.86 Typical High $81.28 | Professional | TC · Technical part | $72.44 | $75.86 | $81.28 |
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 $81.28 Median $93.33 Typical High $123.03 | Professional | None (both parts) | $81.28 | $93.33 | $123.03 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $35.48 | Professional | 26 · Professional part | $26.92 | $26.92 | $35.48 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $87.10 | Professional | TC · Technical part | $66.07 | $66.07 | $87.10 |
CareSource Setting Professional Modifier None (both parts) Typical Low $23.99 Median $61.66 Typical High $95.50 | Professional | None (both parts) | $23.99 | $61.66 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $67.61 Typical High $165.96 | Facility | None | $46.77 | $67.61 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $50.12 Typical High $158.49 | Professional | None (both parts) | $48.98 | $50.12 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $15.85 Typical High $43.65 | Professional | 26 · Professional part | $12.59 | $15.85 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $34.67 Typical High $114.82 | Professional | TC · Technical part | $33.88 | $34.67 | $114.82 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $93.33 Median $109.65 Typical High $173.78 | Professional | None (both parts) | $93.33 | $109.65 | $173.78 |
Qualchoice Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $87.10 Typical High $93.33 | Professional | TC · Technical part | $83.18 | $87.10 | $93.33 |
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 $52.48 Median $64.57 Typical High $107.15 | Professional | None (both parts) | $52.48 | $64.57 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $19.50 Typical High $39.81 | Professional | 26 · Professional part | $15.14 | $19.50 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $44.67 Typical High $79.43 | Professional | TC · Technical part | $36.31 | $44.67 | $79.43 |
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 $46.77 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $46.77 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $18.62 | $22.39 | $22.39 |
Where Arkansas sits
The same service costs 5.5 times more in Alaska 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· 42nd of 51
$93.33
AK $269AL $48.98
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.