How much rates vary
Facilitymedian $138 · 10th to 90th $138 to $195Professionalmedian $41 · 10th to 90th $35 to $55
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 $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $47.86 Typical High $47.86 | Professional | None (both parts) | $32.36 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $17.78 Typical High $17.78 | Professional | 26 · Professional part | $11.22 | $17.78 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $30.20 Typical High $30.20 | Professional | TC · Technical part | $20.89 | $30.20 | $30.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $44.67 | Professional | None (both parts) | $39.81 | $39.81 | $44.67 |
BCBS Arkansas Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $194.98 | Facility | None | $138.04 | $138.04 | $194.98 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $54.95 | Professional | None (both parts) | $40.74 | $40.74 | $54.95 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $15.85 Typical High $20.89 | Professional | 26 · Professional part | $15.85 | $15.85 | $20.89 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $33.11 | Professional | TC · Technical part | $25.12 | $25.12 | $33.11 |
CareSource Setting Professional Modifier None (both parts) Typical Low $13.49 Median $23.99 Typical High $43.65 | Professional | None (both parts) | $13.49 | $23.99 | $43.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $40.74 Typical High $57.54 | Professional | None (both parts) | $28.84 | $40.74 | $57.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $17.38 Typical High $22.91 | Professional | 26 · Professional part | $11.22 | $17.38 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $22.91 Typical High $36.31 | Professional | TC · Technical part | $18.20 | $22.91 | $36.31 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None (both parts) | $45.71 | $45.71 | $45.71 |
United Setting Facility Modifier None Typical Low $169.82 Median $208.93 Typical High $380.19 | Facility | None | $169.82 | $208.93 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $32.36 Median $38.02 Typical High $69.18 | Professional | None (both parts) | $32.36 | $38.02 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.79 Typical High $25.70 | Professional | 26 · Professional part | $12.59 | $14.79 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $23.44 Typical High $43.65 | Professional | TC · Technical part | $19.05 | $23.44 | $43.65 |
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 $16.22 Median $23.99 Typical High $23.99 | Professional | 52 · Reduced service | $16.22 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $9.55 Typical High $9.55 | Professional | 53 · Discontinued | $6.46 | $9.55 | $9.55 |
Where Arkansas sits
The same service costs 2.7 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· 18th of 51
$45.71
AK $83.18FL $30.90
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.