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 $660.69 Median $660.69 Typical High $1,445.44 | Facility | None | $660.69 | $660.69 | $1,445.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $660.69 Typical High $870.96 | Professional | None (both parts) | $416.87 | $660.69 | $870.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $181.97 Typical High $194.98 | Professional | 26 · Professional part | $117.49 | $181.97 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $478.63 Typical High $524.81 | Professional | TC · Technical part | $281.84 | $478.63 | $524.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $269.15 Median $575.44 Typical High $588.84 | Professional | None (both parts) | $269.15 | $575.44 | $588.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $165.96 Typical High $177.83 | Professional | 26 · Professional part | $165.96 | $165.96 | $177.83 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $346.74 Typical High $602.56 | Professional | TC · Technical part | $346.74 | $346.74 | $602.56 |
BCBS Arkansas Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $501.19 | Facility | None | $363.08 | $363.08 | $501.19 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $562.34 | Professional | None (both parts) | $436.52 | $436.52 | $562.34 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $165.96 | Professional | 26 · Professional part | $128.82 | $128.82 | $165.96 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $398.11 | Professional | TC · Technical part | $309.03 | $309.03 | $398.11 |
CareSource Setting Professional Modifier None (both parts) Typical Low $134.90 Median $288.40 Typical High $501.19 | Professional | None (both parts) | $134.90 | $288.40 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $478.63 Typical High $1,122.02 | Facility | None | $165.96 | $478.63 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $467.74 Typical High $1,288.25 | Professional | None (both parts) | $346.74 | $467.74 | $1,288.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $109.65 Typical High $204.17 | Professional | 26 · Professional part | $89.13 | $109.65 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $338.84 Typical High $1,047.13 | Professional | TC · Technical part | $229.09 | $338.84 | $1,047.13 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $602.56 Median $660.69 Typical High $676.08 | Professional | None (both parts) | $602.56 | $660.69 | $676.08 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $190.55 Typical High $218.78 | Professional | 26 · Professional part | $190.55 | $190.55 | $218.78 |
Qualchoice Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $398.11 Typical High $691.83 | Professional | TC · Technical part | $398.11 | $398.11 | $691.83 |
United Setting Facility Modifier None Typical Low $457.09 Median $575.44 Typical High $1,047.13 | Facility | None | $457.09 | $575.44 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $346.74 Median $660.69 Typical High $1,318.26 | Professional | None (both parts) | $346.74 | $660.69 | $1,318.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $120.23 Typical High $204.17 | Professional | 26 · Professional part | $95.50 | $120.23 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $446.68 Typical High $1,122.02 | Professional | TC · Technical part | $245.47 | $446.68 | $1,122.02 |
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 $239.88 Median $331.13 Typical High $331.13 | Professional | 52 · Reduced service | $239.88 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $131.83 Typical High $131.83 | Professional | 53 · Discontinued | $95.50 | $131.83 | $131.83 |
Where Arkansas sits
The same service costs 5.8 times more in Wyoming 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· 26th of 51
$550
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.