How much rates vary
Facilitymedian $110 · 10th to 90th $107 to $162Professionalmedian $105 · 10th to 90th $81 to $138
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 $104.71 Median $104.71 Typical High $109.65 | Facility | None | $104.71 | $104.71 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $104.71 Typical High $128.82 | Professional | None (both parts) | $85.11 | $104.71 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $15.85 Typical High $19.05 | Professional | 26 · Professional part | $12.30 | $15.85 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $87.10 Typical High $114.82 | Professional | TC · Technical part | $70.79 | $87.10 | $114.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $138.04 | Professional | None (both parts) | $97.72 | $97.72 | $138.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.60 Typical High $19.05 | Professional | 26 · Professional part | $14.45 | $16.60 | $19.05 |
BCBS Arkansas Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $154.88 | Facility | None | $109.65 | $109.65 | $154.88 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $81.28 Median $89.13 Typical High $107.15 | Professional | None (both parts) | $81.28 | $89.13 | $107.15 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $14.13 Typical High $16.98 | Professional | 26 · Professional part | $12.88 | $14.13 | $16.98 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $75.86 Typical High $91.20 | Professional | TC · Technical part | $69.18 | $75.86 | $91.20 |
CareSource Setting Professional Modifier None (both parts) Typical Low $11.22 Median $69.18 Typical High $109.65 | Professional | None (both parts) | $11.22 | $69.18 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $144.54 Typical High $190.55 | Facility | None | $91.20 | $144.54 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $97.72 Typical High $151.36 | Professional | None (both parts) | $74.13 | $97.72 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $14.45 Typical High $23.99 | Professional | 26 · Professional part | $11.22 | $14.45 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $83.18 Typical High $128.82 | Professional | TC · Technical part | $63.10 | $83.18 | $128.82 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $112.20 Median $125.89 Typical High $158.49 | Professional | None (both parts) | $112.20 | $125.89 | $158.49 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $16.98 Typical High $22.39 | Professional | 26 · Professional part | $16.98 | $16.98 | $22.39 |
United Setting Facility Modifier None Typical Low $173.78 Median $218.78 Typical High $398.11 | Facility | None | $173.78 | $218.78 | $398.11 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $104.71 Typical High $169.82 | Professional | None (both parts) | $72.44 | $104.71 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.49 Typical High $26.92 | Professional | 26 · Professional part | $10.96 | $13.49 | $26.92 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $89.13 Typical High $147.91 | Professional | TC · Technical part | $63.10 | $89.13 | $147.91 |
6 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 $41.69 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $41.69 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $16.98 | $20.89 | $20.89 |
Ambetter Setting Professional Modifier 51 · Multiple procedures Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 51 · Multiple procedures | $97.72 | $97.72 | $97.72 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $97.72 Median $97.72 Typical High $138.04 | Professional | 59 · Distinct service | $97.72 | $97.72 | $138.04 |
Qualchoice Setting Professional Modifier 51 · Multiple procedures Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 51 · Multiple procedures | $112.20 | $112.20 | $112.20 |
Qualchoice Setting Professional Modifier 59 · Distinct service Typical Low $112.20 Median $112.20 Typical High $158.49 | Professional | 59 · Distinct service | $112.20 | $112.20 | $158.49 |
Where Arkansas sits
The same service costs 3.3 times more in Alaska 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· 26th of 51
$105
AK $209UT $63.10
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.