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 $128.82 Median $141.25 Typical High $141.25 | Facility | None | $128.82 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $141.25 Typical High $151.36 | Professional | None (both parts) | $102.33 | $141.25 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $46.77 Typical High $51.29 | Professional | 26 · Professional part | $30.90 | $46.77 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $95.50 Typical High $104.71 | Professional | TC · Technical part | $67.61 | $95.50 | $104.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $177.83 | $177.83 | $177.83 |
BCBS Arkansas Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $309.03 | Facility | None | $223.87 | $223.87 | $309.03 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $165.96 | Professional | None (both parts) | $131.83 | $131.83 | $165.96 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $54.95 | Professional | 26 · Professional part | $42.66 | $42.66 | $54.95 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $112.20 | Professional | TC · Technical part | $87.10 | $87.10 | $112.20 |
CareSource Setting Professional Modifier None (both parts) Typical Low $33.88 Median $95.50 Typical High $141.25 | Professional | None (both parts) | $33.88 | $95.50 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $177.83 Typical High $389.05 | Facility | None | $107.15 | $177.83 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $123.03 Typical High $213.80 | Professional | None (both parts) | $93.33 | $123.03 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $38.90 Typical High $69.18 | Professional | 26 · Professional part | $29.51 | $38.90 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $85.11 Typical High $144.54 | Professional | TC · Technical part | $63.10 | $85.11 | $144.54 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $213.80 | Professional | None (both parts) | $199.53 | $199.53 | $213.80 |
United Setting Facility Modifier None Typical Low $316.23 Median $389.05 Typical High $707.95 | Facility | None | $316.23 | $389.05 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $123.03 Typical High $213.80 | Professional | None (both parts) | $102.33 | $123.03 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.90 Typical High $67.61 | Professional | 26 · Professional part | $33.11 | $38.90 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $87.10 Typical High $147.91 | Professional | TC · Technical part | $70.79 | $87.10 | $147.91 |
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 $48.98 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $48.98 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $19.95 | $28.18 | $28.18 |
Where Arkansas sits
The same service costs 3.9 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· 21st of 51
$141
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.