How much rates vary
Facilitymedian $155 · 10th to 90th $138 to $219Professionalmedian $162 · 10th to 90th $135 to $214
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 $138.04 Median $162.18 Typical High $173.78 | Facility | None | $138.04 | $162.18 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $162.18 Typical High $199.53 | Professional | None (both parts) | $131.83 | $162.18 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $28.18 Typical High $34.67 | Professional | 26 · Professional part | $22.39 | $28.18 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $134.90 Typical High $173.78 | Professional | TC · Technical part | $109.65 | $134.90 | $173.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $154.88 Median $181.97 Typical High $213.80 | Professional | None (both parts) | $154.88 | $181.97 | $213.80 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $34.67 | Professional | 26 · Professional part | $26.92 | $26.92 | $34.67 |
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 $134.90 Median $147.91 Typical High $177.83 | Professional | None (both parts) | $134.90 | $147.91 | $177.83 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $26.30 Typical High $31.62 | Professional | 26 · Professional part | $23.99 | $26.30 | $31.62 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $123.03 Typical High $147.91 | Professional | TC · Technical part | $109.65 | $123.03 | $147.91 |
CareSource Setting Professional Modifier None (both parts) Typical Low $20.42 Median $109.65 Typical High $169.82 | Professional | None (both parts) | $20.42 | $109.65 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $190.55 Typical High $234.42 | Facility | None | $134.90 | $190.55 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $154.88 Typical High $234.42 | Professional | None (both parts) | $117.49 | $154.88 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $26.30 Typical High $42.66 | Professional | 26 · Professional part | $19.95 | $26.30 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $125.89 Typical High $194.98 | Professional | TC · Technical part | $97.72 | $125.89 | $194.98 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $177.83 Median $208.93 Typical High $245.47 | Professional | None (both parts) | $177.83 | $208.93 | $245.47 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $39.81 | Professional | 26 · Professional part | $30.90 | $30.90 | $39.81 |
United Setting Facility Modifier None Typical Low $281.84 Median $354.81 Typical High $645.65 | Facility | None | $281.84 | $354.81 | $645.65 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $158.49 Typical High $269.15 | Professional | None (both parts) | $114.82 | $158.49 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.99 Typical High $47.86 | Professional | 26 · Professional part | $19.95 | $23.99 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $138.04 Typical High $223.87 | Professional | TC · Technical part | $95.50 | $138.04 | $223.87 |
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 $66.07 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $66.07 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $26.30 | $32.36 | $32.36 |
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· 31st of 51
$162
AK $316UT $95.50
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.