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 $229.09 Median $371.54 Typical High $1,000.00 | Facility | None | $229.09 | $371.54 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $229.09 Typical High $331.13 | Professional | None (both parts) | $173.78 | $229.09 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $81.28 Typical High $97.72 | Professional | 26 · Professional part | $58.88 | $81.28 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $147.91 Typical High $251.19 | Professional | TC · Technical part | $117.49 | $147.91 | $251.19 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $85.11 Typical High $91.20 | Professional | 26 · Professional part | $83.18 | $85.11 | $91.20 |
BCBS Arkansas Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $239.88 | Facility | None | $173.78 | $173.78 | $239.88 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $234.42 | Professional | None (both parts) | $186.21 | $186.21 | $234.42 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $85.11 | Professional | 26 · Professional part | $66.07 | $66.07 | $85.11 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $151.36 | Professional | TC · Technical part | $117.49 | $117.49 | $151.36 |
CareSource Setting Professional Modifier None (both parts) Typical Low $69.18 Median $123.03 Typical High $223.87 | Professional | None (both parts) | $69.18 | $123.03 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $204.17 Typical High $354.81 | Facility | None | $83.18 | $204.17 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $213.80 Typical High $426.58 | Professional | None (both parts) | $147.91 | $213.80 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $60.26 Typical High $117.49 | Professional | 26 · Professional part | $47.86 | $60.26 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $154.88 Typical High $316.23 | Professional | TC · Technical part | $95.50 | $154.88 | $316.23 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $97.72 Typical High $109.65 | Professional | 26 · Professional part | $97.72 | $97.72 | $109.65 |
United Setting Facility Modifier None Typical Low $229.09 Median $288.40 Typical High $524.81 | Facility | None | $229.09 | $288.40 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $251.19 Typical High $416.87 | Professional | None (both parts) | $151.36 | $251.19 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $64.57 Typical High $109.65 | Professional | 26 · Professional part | $52.48 | $64.57 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $173.78 Typical High $316.23 | Professional | TC · Technical part | $95.50 | $173.78 | $316.23 |
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 $95.50 Median $114.82 Typical High $162.18 | Professional | 52 · Reduced service | $95.50 | $114.82 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $45.71 Typical High $64.57 | Professional | 53 · Discontinued | $38.02 | $45.71 | $64.57 |
Where Arkansas sits
The same service costs 5.9 times more in Alaska than in Utah. 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
$229
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.