How much rates vary
Facilitymedian $263 · 10th to 90th $72 to $380Professionalmedian $60 · 10th to 90th $46 to $79
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 $46.77 Median $72.44 Typical High $72.44 | Facility | None | $46.77 | $72.44 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $72.44 Typical High $72.44 | Professional | None (both parts) | $45.71 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $16.60 Typical High $16.60 | Professional | 26 · Professional part | $10.72 | $16.60 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $54.95 Typical High $54.95 | Professional | TC · Technical part | $35.48 | $54.95 | $54.95 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $43.65 Median $51.29 Typical High $95.50 | Professional | None (both parts) | $43.65 | $51.29 | $95.50 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.18 Typical High $20.42 | Professional | 26 · Professional part | $13.18 | $13.18 | $20.42 |
BCBS Arkansas Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $380.19 | Facility | None | $263.03 | $263.03 | $380.19 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $79.43 | Professional | None (both parts) | $60.26 | $60.26 | $79.43 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $19.05 | Professional | 26 · Professional part | $14.45 | $14.45 | $19.05 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $61.66 | Professional | TC · Technical part | $45.71 | $45.71 | $61.66 |
CareSource Setting Professional Modifier None (both parts) Typical Low $12.88 Median $34.67 Typical High $47.86 | Professional | None (both parts) | $12.88 | $34.67 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $257.04 Typical High $288.40 | Facility | None | $123.03 | $257.04 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $77.62 Typical High $89.13 | Professional | None (both parts) | $33.11 | $77.62 | $89.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $18.20 Typical High $24.55 | Professional | 26 · Professional part | $8.51 | $18.20 | $24.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $60.26 Typical High $64.57 | Professional | TC · Technical part | $20.89 | $60.26 | $64.57 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $50.12 Median $58.88 Typical High $109.65 | Professional | None (both parts) | $50.12 | $58.88 | $109.65 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $15.14 Typical High $23.44 | Professional | 26 · Professional part | $15.14 | $15.14 | $23.44 |
United Setting Facility Modifier None Typical Low $489.78 Median $602.56 Typical High $1,122.02 | Facility | None | $489.78 | $602.56 | $1,122.02 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $56.23 Typical High $85.11 | Professional | None (both parts) | $48.98 | $56.23 | $85.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.88 Typical High $22.39 | Professional | 26 · Professional part | $11.22 | $12.88 | $22.39 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $43.65 Typical High $63.10 | Professional | TC · Technical part | $36.31 | $43.65 | $63.10 |
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 $22.91 Median $36.31 Typical High $36.31 | Professional | 52 · Reduced service | $22.91 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $14.45 Typical High $14.45 | Professional | 53 · Discontinued | $9.12 | $14.45 | $14.45 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 59 · Distinct service | $51.29 | $51.29 | $51.29 |
Qualchoice Setting Professional Modifier 59 · Distinct service Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 59 · Distinct service | $58.88 | $58.88 | $58.88 |
Where Arkansas sits
The same service costs 3.3 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· 23rd of 51
$60.26
MN $105UT $31.62
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.