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 $131.83 Median $147.91 Typical High $147.91 | Facility | None | $131.83 | $147.91 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $147.91 Typical High $177.83 | Professional | None (both parts) | $114.82 | $147.91 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $43.65 Typical High $58.88 | Professional | 26 · Professional part | $34.67 | $43.65 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $104.71 Typical High $125.89 | Professional | TC · Technical part | $79.43 | $104.71 | $125.89 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $67.61 Typical High $70.79 | Professional | 26 · Professional part | $54.95 | $67.61 | $70.79 |
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 $158.49 Median $158.49 Typical High $204.17 | Professional | None (both parts) | $158.49 | $158.49 | $204.17 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $54.95 | Professional | 26 · Professional part | $43.65 | $43.65 | $54.95 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $147.91 | Professional | TC · Technical part | $114.82 | $114.82 | $147.91 |
CareSource Setting Professional Modifier None (both parts) Typical Low $54.95 Median $112.20 Typical High $199.53 | Professional | None (both parts) | $54.95 | $112.20 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $125.89 Typical High $302.00 | Facility | None | $81.28 | $125.89 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $128.82 Typical High $251.19 | Professional | None (both parts) | $107.15 | $128.82 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.02 Typical High $79.43 | Professional | 26 · Professional part | $33.11 | $38.02 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $93.33 Typical High $162.18 | Professional | TC · Technical part | $69.18 | $93.33 | $162.18 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $64.57 | $77.62 | $77.62 |
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 $109.65 Median $141.25 Typical High $251.19 | Professional | None (both parts) | $109.65 | $141.25 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $47.86 Typical High $83.18 | Professional | 26 · Professional part | $34.67 | $47.86 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $95.50 Typical High $169.82 | Professional | TC · Technical part | $75.86 | $95.50 | $169.82 |
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 $57.54 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $57.54 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $23.44 | $29.51 | $29.51 |
Where Arkansas sits
The same service costs 3.9 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· 24th of 51
$158
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.