How much rates vary
Facilitymedian $224 · 10th to 90th $178 to $316Professionalmedian $123 · 10th to 90th $91 to $182
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 $107.15 Median $123.03 Typical High $134.90 | Facility | None | $107.15 | $123.03 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $123.03 Typical High $141.25 | Professional | None (both parts) | $102.33 | $123.03 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $32.36 Typical High $38.02 | Professional | 26 · Professional part | $26.30 | $32.36 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $91.20 Typical High $104.71 | Professional | TC · Technical part | $77.62 | $91.20 | $104.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | None (both parts) | $56.23 | $56.23 | $56.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $39.81 | Professional | 26 · Professional part | $31.62 | $31.62 | $39.81 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | TC · Technical part | $89.13 | $89.13 | $89.13 |
BCBS Arkansas Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $316.23 | Facility | None | $223.87 | $223.87 | $316.23 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $100.00 Median $109.65 Typical High $131.83 | Professional | None (both parts) | $100.00 | $109.65 | $131.83 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $30.90 Typical High $37.15 | Professional | 26 · Professional part | $28.18 | $30.90 | $37.15 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $79.43 Typical High $95.50 | Professional | TC · Technical part | $72.44 | $79.43 | $95.50 |
CareSource Setting Professional Modifier None (both parts) Typical Low $23.99 Median $83.18 Typical High $120.23 | Professional | None (both parts) | $23.99 | $83.18 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $398.11 | Facility | None | $177.83 | $177.83 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $162.18 Typical High $223.87 | Professional | None (both parts) | $102.33 | $162.18 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $43.65 Typical High $60.26 | Professional | 26 · Professional part | $25.12 | $43.65 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $114.82 Typical High $158.49 | Professional | TC · Technical part | $72.44 | $114.82 | $158.49 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $45.71 | Professional | 26 · Professional part | $36.31 | $36.31 | $45.71 |
United Setting Facility Modifier None Typical Low $316.23 Median $389.05 Typical High $707.95 | Facility | None | $316.23 | $389.05 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $123.03 Typical High $204.17 | Professional | None (both parts) | $89.13 | $123.03 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $32.36 Typical High $53.70 | Professional | 26 · Professional part | $23.44 | $32.36 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $91.20 Typical High $154.88 | Professional | TC · Technical part | $63.10 | $91.20 | $154.88 |
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 $50.12 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $50.12 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $19.95 | $24.55 | $24.55 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 59 · Distinct service | $120.23 | $120.23 | $120.23 |
Qualchoice Setting Professional Modifier 59 · Distinct service Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 59 · Distinct service | $138.04 | $138.04 | $138.04 |
Where Arkansas sits
The same service costs 3.8 times more in Minnesota 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· 28th of 51
$129
MN $275UT $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.