How much rates vary
Facilitymedian $138 · 10th to 90th $138 to $195Professionalmedian $40 · 10th to 90th $30 to $49
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 $41.69 Median $42.66 Typical High $42.66 | Facility | None | $41.69 | $42.66 | $42.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $42.66 Typical High $42.66 | Professional | None (both parts) | $29.51 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.72 Typical High $10.72 | Professional | 26 · Professional part | $8.71 | $10.72 | $10.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $31.62 Typical High $31.62 | Professional | TC · Technical part | $20.89 | $31.62 | $31.62 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.20 Median $35.48 Typical High $56.23 | Professional | None (both parts) | $30.20 | $35.48 | $56.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $10.72 Typical High $13.18 | Professional | 26 · Professional part | $10.72 | $10.72 | $13.18 |
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 $36.31 Median $36.31 Typical High $47.86 | Professional | None (both parts) | $36.31 | $36.31 | $47.86 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $9.12 Typical High $12.30 | Professional | 26 · Professional part | $9.12 | $9.12 | $12.30 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $26.92 Typical High $35.48 | Professional | TC · Technical part | $26.92 | $26.92 | $35.48 |
CareSource Setting Professional Modifier None (both parts) Typical Low $10.23 Median $22.91 Typical High $33.88 | Professional | None (both parts) | $10.23 | $22.91 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $151.36 Typical High $194.98 | Facility | None | $74.13 | $151.36 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $45.71 Typical High $53.70 | Professional | None (both parts) | $23.44 | $45.71 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $11.75 Typical High $14.45 | Professional | 26 · Professional part | $6.61 | $11.75 | $14.45 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $34.67 Typical High $39.81 | Professional | TC · Technical part | $13.80 | $34.67 | $39.81 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $34.67 Median $40.74 Typical High $64.57 | Professional | None (both parts) | $34.67 | $40.74 | $64.57 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.30 Typical High $15.14 | Professional | 26 · Professional part | $12.30 | $12.30 | $15.14 |
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 $28.84 Median $33.11 Typical High $51.29 | Professional | None (both parts) | $28.84 | $33.11 | $51.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.13 Typical High $14.45 | Professional | 26 · Professional part | $7.24 | $8.13 | $14.45 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $25.12 Typical High $38.02 | Professional | TC · Technical part | $21.38 | $25.12 | $38.02 |
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 $14.79 Median $21.38 Typical High $21.38 | Professional | 52 · Reduced service | $14.79 | $21.38 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $8.51 Typical High $8.51 | Professional | 53 · Discontinued | $5.89 | $8.51 | $8.51 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $35.48 Median $35.48 Typical High $56.23 | Professional | 59 · Distinct service | $35.48 | $35.48 | $56.23 |
Qualchoice Setting Professional Modifier 59 · Distinct service Typical Low $40.74 Median $40.74 Typical High $64.57 | Professional | 59 · Distinct service | $40.74 | $40.74 | $64.57 |
Where Arkansas sits
The same service costs 2.5 times more in Minnesota than in Texas. 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· 20th of 51
$39.81
MN $67.61TX $26.92
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.