How much rates vary
Facilitymedian $240 · 10th to 90th $224 to $324Professionalmedian $240 · 10th to 90th $204 to $316
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 $199.53 Median $239.88 Typical High $275.42 | Facility | None | $199.53 | $239.88 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $239.88 Typical High $288.40 | Professional | None (both parts) | $199.53 | $239.88 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $50.12 Typical High $57.54 | Professional | 26 · Professional part | $36.31 | $50.12 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $190.55 Typical High $229.09 | Professional | TC · Technical part | $158.49 | $190.55 | $229.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $316.23 | Professional | None (both parts) | $223.87 | $223.87 | $316.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $52.48 Typical High $61.66 | Professional | 26 · Professional part | $46.77 | $52.48 | $61.66 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $251.19 | Professional | TC · Technical part | $173.78 | $173.78 | $251.19 |
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 $204.17 Median $223.87 Typical High $269.15 | Professional | None (both parts) | $204.17 | $223.87 | $269.15 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $47.86 Typical High $57.54 | Professional | 26 · Professional part | $43.65 | $47.86 | $57.54 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $177.83 Typical High $213.80 | Professional | TC · Technical part | $162.18 | $177.83 | $213.80 |
CareSource Setting Professional Modifier None (both parts) Typical Low $36.31 Median $158.49 Typical High $234.42 | Professional | None (both parts) | $36.31 | $158.49 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $295.12 Typical High $389.05 | Facility | None | $177.83 | $295.12 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $229.09 Typical High $354.81 | Professional | None (both parts) | $173.78 | $229.09 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $39.81 Typical High $75.86 | Professional | 26 · Professional part | $35.48 | $39.81 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $177.83 Typical High $281.84 | Professional | TC · Technical part | $138.04 | $177.83 | $281.84 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $363.08 | Professional | None (both parts) | $257.04 | $257.04 | $363.08 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | 26 · Professional part | $54.95 | $54.95 | $70.79 |
Qualchoice Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $288.40 | Professional | TC · Technical part | $199.53 | $199.53 | $288.40 |
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 $169.82 Median $223.87 Typical High $398.11 | Professional | None (both parts) | $169.82 | $223.87 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $40.74 Typical High $85.11 | Professional | 26 · Professional part | $27.54 | $40.74 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $190.55 Typical High $323.59 | Professional | TC · Technical part | $138.04 | $190.55 | $323.59 |
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 $100.00 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $100.00 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $39.81 | $47.86 | $47.86 |
Ambetter Setting Professional Modifier 51 · Multiple procedures Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | 51 · Multiple procedures | $223.87 | $223.87 | $223.87 |
Where Arkansas sits
The same service costs 3.2 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· 24th of 51
$240
MN $501UT $158
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.