How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $169.82 Median $169.82 Typical High $204.17 | Facility | None | $169.82 | $169.82 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $114.82 | $169.82 | $169.82 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $181.97 | Professional | None (both parts) | $120.23 | $120.23 | $181.97 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $8.51 Typical High $12.59 | Professional | 26 · Professional part | $8.51 | $8.51 | $12.59 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $169.82 | Professional | TC · Technical part | $112.20 | $112.20 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $112.20 Typical High $251.19 | Facility | None | $107.15 | $112.20 | $251.19 |
United Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $134.90 | Facility | None | $120.23 | $120.23 | $134.90 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $81.28 Typical High $134.90 | Professional | None (both parts) | $56.23 | $81.28 | $134.90 |
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 $53.70 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $53.70 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $21.38 | $33.88 | $33.88 |
Where Arkansas sits
The same service costs 11.7 times more in Texas 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· 32nd of 51
$120
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.