How much rates vary
Facilitymedian $135 · 10th to 90th $102 to $178Professionalmedian $145 · 10th to 90th $117 to $195
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 $102.33 Median $144.54 Typical High $194.98 | Facility | None | $102.33 | $144.54 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $144.54 Typical High $186.21 | Professional | None (both parts) | $123.03 | $144.54 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $28.18 Typical High $35.48 | Professional | 26 · Professional part | $21.38 | $28.18 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $114.82 Typical High $147.91 | Professional | TC · Technical part | $100.00 | $114.82 | $147.91 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $100.00 Median $138.04 Typical High $190.55 | Professional | None (both parts) | $100.00 | $138.04 | $190.55 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $29.51 Typical High $35.48 | Professional | 26 · Professional part | $25.70 | $29.51 | $35.48 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $154.88 | Professional | TC · Technical part | $109.65 | $109.65 | $154.88 |
BCBS Arkansas Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $144.54 | Facility | None | $102.33 | $102.33 | $144.54 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $123.03 Median $134.90 Typical High $162.18 | Professional | None (both parts) | $123.03 | $134.90 | $162.18 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $26.92 Typical High $32.36 | Professional | 26 · Professional part | $24.55 | $26.92 | $32.36 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $107.15 Typical High $128.82 | Professional | TC · Technical part | $97.72 | $107.15 | $128.82 |
CareSource Setting Professional Modifier None (both parts) Typical Low $20.42 Median $100.00 Typical High $151.36 | Professional | None (both parts) | $20.42 | $100.00 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $177.83 Typical High $194.98 | Facility | None | $128.82 | $177.83 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $138.04 Typical High $218.78 | Professional | None (both parts) | $107.15 | $138.04 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $26.92 Typical High $42.66 | Professional | 26 · Professional part | $19.95 | $26.92 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $109.65 Typical High $181.97 | Professional | TC · Technical part | $89.13 | $109.65 | $181.97 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $114.82 Median $158.49 Typical High $218.78 | Professional | None (both parts) | $114.82 | $158.49 | $218.78 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $33.88 Typical High $40.74 | Professional | 26 · Professional part | $29.51 | $33.88 | $40.74 |
Qualchoice Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $128.82 Typical High $177.83 | Professional | TC · Technical part | $107.15 | $128.82 | $177.83 |
United Setting Facility Modifier None Typical Low $138.04 Median $169.82 Typical High $309.03 | Facility | None | $138.04 | $169.82 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $141.25 Typical High $245.47 | Professional | None (both parts) | $102.33 | $141.25 | $245.47 |
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 $83.18 Median $123.03 Typical High $204.17 | Professional | TC · Technical part | $83.18 | $123.03 | $204.17 |
5 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 $61.66 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $61.66 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $24.55 | $28.84 | $28.84 |
Ambetter 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 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | XU · Unusual separate service | $190.55 | $190.55 | $190.55 |
Qualchoice Setting Professional Modifier 59 · Distinct service Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 59 · Distinct service | $158.49 | $158.49 | $158.49 |
Where Arkansas sits
The same service costs 4.0 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· 31st of 51
$141
MN $380UT $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.