How much rates vary
Facilitymedian $263 · 10th to 90th $263 to $389Professionalmedian $427 · 10th to 90th $309 to $537
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 $213.80 Median $426.58 Typical High $426.58 | Facility | None | $213.80 | $426.58 | $426.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $426.58 Typical High $489.78 | Professional | None (both parts) | $354.81 | $426.58 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $56.23 | $74.13 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $354.81 Typical High $416.87 | Professional | TC · Technical part | $302.00 | $354.81 | $416.87 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $467.74 Median $549.54 Typical High $660.69 | Professional | None (both parts) | $467.74 | $549.54 | $660.69 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $89.13 | Professional | 26 · Professional part | $70.79 | $70.79 | $89.13 |
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 $346.74 Median $380.19 Typical High $457.09 | Professional | None (both parts) | $346.74 | $380.19 | $457.09 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $66.07 Typical High $77.62 | Professional | 26 · Professional part | $58.88 | $66.07 | $77.62 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $316.23 Typical High $380.19 | Professional | TC · Technical part | $288.40 | $316.23 | $380.19 |
CareSource Setting Professional Modifier None (both parts) Typical Low $72.44 Median $398.11 Typical High $549.54 | Professional | None (both parts) | $72.44 | $398.11 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $257.04 Typical High $257.04 | Facility | None | $204.17 | $257.04 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $309.03 Typical High $660.69 | Professional | None (both parts) | $275.42 | $309.03 | $660.69 |
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 $239.88 Median $257.04 Typical High $562.34 | Professional | TC · Technical part | $239.88 | $257.04 | $562.34 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $537.03 Median $645.65 Typical High $776.25 | Professional | None (both parts) | $537.03 | $645.65 | $776.25 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $102.33 | Professional | 26 · Professional part | $81.28 | $81.28 | $102.33 |
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 $181.97 Median $346.74 Typical High $676.08 | Professional | None (both parts) | $181.97 | $346.74 | $676.08 |
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 $144.54 Median $295.12 Typical High $588.84 | Professional | TC · Technical part | $144.54 | $295.12 | $588.84 |
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 $177.83 Median $213.80 Typical High $213.80 | Professional | 52 · Reduced service | $177.83 | $213.80 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $70.79 | $85.11 | $85.11 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | 59 · Distinct service | $489.78 | $489.78 | $489.78 |
Qualchoice Setting Professional Modifier 59 · Distinct service Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | 59 · Distinct service | $562.34 | $562.34 | $562.34 |
Where Arkansas sits
The same service costs 3.0 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· 23rd of 51
$417
AK $794NM $269
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.