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 $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $77.62 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $28.84 | $45.71 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $66.07 Typical High $70.79 | Professional | TC · Technical part | $47.86 | $66.07 | $70.79 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None (both parts) | $69.18 | $69.18 | $69.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $56.23 | $56.23 | $56.23 |
BCBS Arkansas Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $147.91 | Facility | None | $107.15 | $107.15 | $147.91 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $131.83 | Professional | None (both parts) | $102.33 | $102.33 | $131.83 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $53.70 | Professional | 26 · Professional part | $42.66 | $42.66 | $53.70 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $77.62 | Professional | TC · Technical part | $60.26 | $60.26 | $77.62 |
CareSource Setting Professional Modifier None (both parts) Typical Low $32.36 Median $64.57 Typical High $109.65 | Professional | None (both parts) | $32.36 | $64.57 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $107.15 Typical High $181.97 | Facility | None | $57.54 | $107.15 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $93.33 Typical High $165.96 | Professional | None (both parts) | $74.13 | $93.33 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $38.02 Typical High $67.61 | Professional | 26 · Professional part | $28.84 | $38.02 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $56.23 Typical High $97.72 | Professional | TC · Technical part | $44.67 | $56.23 | $97.72 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $53.70 | $53.70 | $53.70 |
United Setting Facility Modifier None Typical Low $138.04 Median $169.82 Typical High $309.03 | Facility | None | $138.04 | $169.82 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $102.33 Typical High $165.96 | Professional | None (both parts) | $79.43 | $102.33 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.02 Typical High $66.07 | Professional | 26 · Professional part | $31.62 | $38.02 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $64.57 Typical High $100.00 | Professional | TC · Technical part | $48.98 | $64.57 | $100.00 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 59 · Distinct service | $144.54 | $144.54 | $144.54 |
Where Arkansas sits
The same service costs 3.7 times more in Alaska than in Texas. 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· 29th of 51
$107
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.