How much rates vary
Facilitymedian $251 · 10th to 90th $224 to $324Professionalmedian $309 · 10th to 90th $240 to $398
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 $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $263.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $38.02 | $47.86 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $263.03 Typical High $269.15 | Professional | TC · Technical part | $223.87 | $263.03 | $269.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $416.87 | Professional | None (both parts) | $288.40 | $288.40 | $416.87 |
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 $239.88 Median $263.03 Typical High $316.23 | Professional | None (both parts) | $239.88 | $263.03 | $316.23 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $40.74 Typical High $48.98 | Professional | 26 · Professional part | $37.15 | $40.74 | $48.98 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $223.87 Typical High $269.15 | Professional | TC · Technical part | $204.17 | $223.87 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $389.05 Typical High $436.52 | Facility | None | $275.42 | $389.05 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $295.12 Typical High $467.74 | Professional | None (both parts) | $223.87 | $295.12 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $45.71 Typical High $74.13 | Professional | 26 · Professional part | $34.67 | $45.71 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $251.19 Typical High $389.05 | Professional | TC · Technical part | $190.55 | $251.19 | $389.05 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $478.63 | Professional | None (both parts) | $331.13 | $331.13 | $478.63 |
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 $223.87 Median $275.42 Typical High $501.19 | Professional | None (both parts) | $223.87 | $275.42 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $41.69 Typical High $81.28 | Professional | 26 · Professional part | $34.67 | $41.69 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $239.88 Typical High $446.68 | Professional | TC · Technical part | $190.55 | $239.88 | $446.68 |
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 $131.83 Median $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $131.83 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $52.48 | $61.66 | $61.66 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 59 · Distinct service | $288.40 | $288.40 | $288.40 |
Qualchoice Setting Professional Modifier 59 · Distinct service Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 59 · Distinct service | $331.13 | $331.13 | $331.13 |
Where Arkansas sits
The same service costs 3.1 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· 18th of 51
$309
AK $631UT $204
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.