How much rates vary
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 $309.03 Median $309.03 Typical High $380.19 | Facility | None | $309.03 | $309.03 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $309.03 | $309.03 | $309.03 |
BCBS Arkansas Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $630.96 | Facility | None | $467.74 | $467.74 | $630.96 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $331.13 | Professional | None (both parts) | $223.87 | $223.87 | $331.13 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.49 Typical High $23.44 | Professional | 26 · Professional part | $15.49 | $15.49 | $23.44 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $309.03 | Professional | TC · Technical part | $204.17 | $204.17 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $524.81 Typical High $758.58 | Facility | None | $323.59 | $524.81 | $758.58 |
United Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $407.38 | Facility | None | $363.08 | $363.08 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $147.91 Typical High $245.47 | Professional | None (both parts) | $104.71 | $147.91 | $245.47 |
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 $154.88 Median $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $61.66 | $61.66 | $61.66 |
Where Arkansas sits
The same service costs 43.7 times more in Texas than in Indiana. 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
$309
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.