How much rates vary
Facilitymedian $234 · 10th to 90th $224 to $324Professionalmedian $229 · 10th to 90th $186 to $309
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 $234.42 Median $234.42 Typical High $316.23 | Facility | None | $234.42 | $234.42 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $234.42 Typical High $288.40 | Professional | None (both parts) | $190.55 | $234.42 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $43.65 Typical High $54.95 | Professional | 26 · Professional part | $33.88 | $43.65 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $190.55 Typical High $245.47 | Professional | TC · Technical part | $158.49 | $190.55 | $245.47 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $181.97 Median $218.78 Typical High $309.03 | Professional | None (both parts) | $181.97 | $218.78 | $309.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $45.71 Typical High $54.95 | Professional | 26 · Professional part | $40.74 | $45.71 | $54.95 |
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 $199.53 Median $218.78 Typical High $263.03 | Professional | None (both parts) | $199.53 | $218.78 | $263.03 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $41.69 Typical High $50.12 | Professional | 26 · Professional part | $37.15 | $41.69 | $50.12 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $177.83 Typical High $213.80 | Professional | TC · Technical part | $158.49 | $177.83 | $213.80 |
CareSource Setting Professional Modifier None (both parts) Typical Low $31.62 Median $154.88 Typical High $234.42 | Professional | None (both parts) | $31.62 | $154.88 | $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 $169.82 Median $208.93 Typical High $346.74 | Professional | None (both parts) | $169.82 | $208.93 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $41.69 Typical High $66.07 | Professional | 26 · Professional part | $30.90 | $41.69 | $66.07 |
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 $213.80 Median $251.19 Typical High $354.81 | Professional | None (both parts) | $213.80 | $251.19 | $354.81 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $52.48 Typical High $63.10 | Professional | 26 · Professional part | $46.77 | $52.48 | $63.10 |
Qualchoice Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $288.40 | Professional | TC · Technical part | $204.17 | $204.17 | $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 $218.78 Typical High $389.05 | Professional | None (both parts) | $169.82 | $218.78 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $37.15 Typical High $74.13 | Professional | 26 · Professional part | $30.20 | $37.15 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $186.21 Typical High $316.23 | Professional | TC · Technical part | $138.04 | $186.21 | $316.23 |
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 $97.72 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $97.72 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $38.90 | $46.77 | $46.77 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 59 · Distinct service | $218.78 | $218.78 | $218.78 |
Qualchoice Setting Professional Modifier 59 · Distinct service Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | 59 · Distinct service | $251.19 | $251.19 | $251.19 |
Where Arkansas sits
The same service costs 3.5 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· 25th of 51
$234
MN $550UT $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.