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 $794.33 Median $794.33 Typical High $977.24 | Facility | None | $794.33 | $794.33 | $977.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $794.33 Typical High $794.33 | Professional | None (both parts) | $512.86 | $794.33 | $794.33 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $575.44 Median $575.44 Typical High $851.14 | Professional | None (both parts) | $575.44 | $575.44 | $851.14 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $60.26 | Professional | 26 · Professional part | $39.81 | $39.81 | $60.26 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $537.03 Typical High $794.33 | Professional | TC · Technical part | $537.03 | $537.03 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $537.03 Typical High $1,174.90 | Facility | None | $501.19 | $537.03 | $1,174.90 |
United Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $630.96 | Facility | None | $575.44 | $575.44 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $380.19 Typical High $645.65 | Professional | None (both parts) | $269.15 | $380.19 | $645.65 |
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 $251.19 Median $398.11 Typical High $398.11 | Professional | 52 · Reduced service | $251.19 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $158.49 Typical High $158.49 | Professional | 53 · Discontinued | $102.33 | $158.49 | $158.49 |
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· 25th of 51
$575
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.