How much rates vary
Facilitymedian $263 · 10th to 90th $263 to $380Professionalmedian $380 · 10th to 90th $316 to $447
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 $251.19 Median $380.19 Typical High $398.11 | Facility | None | $251.19 | $380.19 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $380.19 Typical High $389.05 | Professional | None (both parts) | $331.13 | $380.19 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $57.54 | $74.13 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $309.03 Typical High $331.13 | Professional | TC · Technical part | $281.84 | $309.03 | $331.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $93.33 | Professional | 26 · Professional part | $89.13 | $89.13 | $93.33 |
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 $338.84 Median $371.54 Typical High $446.68 | Professional | None (both parts) | $338.84 | $371.54 | $446.68 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $72.44 Typical High $85.11 | Professional | 26 · Professional part | $64.57 | $72.44 | $85.11 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $302.00 Typical High $363.08 | Professional | TC · Technical part | $275.42 | $302.00 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $257.04 Typical High $281.84 | Facility | None | $204.17 | $257.04 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $380.19 Typical High $645.65 | Professional | None (both parts) | $251.19 | $380.19 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $63.10 Typical High $95.50 | Professional | 26 · Professional part | $54.95 | $63.10 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $323.59 Typical High $537.03 | Professional | TC · Technical part | $208.93 | $323.59 | $537.03 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $107.15 | Professional | 26 · Professional part | $102.33 | $102.33 | $107.15 |
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 $199.53 Median $323.59 Typical High $616.60 | Professional | None (both parts) | $199.53 | $323.59 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $61.66 Typical High $109.65 | Professional | 26 · Professional part | $47.86 | $61.66 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $269.15 Typical High $537.03 | Professional | TC · Technical part | $177.83 | $269.15 | $537.03 |
2 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 $162.18 Median $190.55 Typical High $190.55 | Professional | 52 · Reduced service | $162.18 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $75.86 Typical High $75.86 | Professional | 53 · Discontinued | $66.07 | $75.86 | $75.86 |
Where Arkansas sits
The same service costs 3.2 times more in Alaska than in New Mexico. 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· 26th of 51
$380
AK $776NM $240
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.