How much rates vary
Facilitymedian $138 · 10th to 90th $138 to $195Professionalmedian $102 · 10th to 90th $81 to $126
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 $85.11 Median $102.33 Typical High $102.33 | Facility | None | $85.11 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $83.18 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $45.71 | $57.54 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $44.67 Typical High $48.98 | Professional | TC · Technical part | $40.74 | $44.67 | $48.98 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $109.65 | $109.65 | $109.65 |
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 $87.10 Median $95.50 Typical High $114.82 | Professional | None (both parts) | $87.10 | $95.50 | $114.82 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $54.95 Typical High $66.07 | Professional | 26 · Professional part | $50.12 | $54.95 | $66.07 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $41.69 Typical High $50.12 | Professional | TC · Technical part | $38.02 | $41.69 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $151.36 Typical High $194.98 | Facility | None | $53.70 | $151.36 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $87.10 Typical High $147.91 | Professional | None (both parts) | $75.86 | $87.10 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $50.12 Typical High $77.62 | Professional | 26 · Professional part | $43.65 | $50.12 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $37.15 Typical High $70.79 | Professional | TC · Technical part | $31.62 | $37.15 | $70.79 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $125.89 | $125.89 | $125.89 |
United Setting Facility Modifier None Typical Low $169.82 Median $208.93 Typical High $380.19 | Facility | None | $169.82 | $208.93 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $87.10 Typical High $158.49 | Professional | None (both parts) | $63.10 | $87.10 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $48.98 Typical High $87.10 | Professional | 26 · Professional part | $38.90 | $48.98 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $38.90 Typical High $75.86 | Professional | TC · Technical part | $20.89 | $38.90 | $75.86 |
3 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 $41.69 Median $51.29 Typical High $51.29 | Professional | 52 · Reduced service | $41.69 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $20.42 Typical High $20.42 | Professional | 53 · Discontinued | $16.98 | $20.42 | $20.42 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 59 · Distinct service | $109.65 | $109.65 | $109.65 |
Where Arkansas sits
The same service costs 3.2 times more in Alaska than in Alabama. 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· 17th of 51
$110
AK $219AL $67.61
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.