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 $114.82 Median $114.82 Typical High $141.25 | Facility | None | $114.82 | $114.82 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $158.49 | Professional | None (both parts) | $114.82 | $114.82 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $42.66 Typical High $47.86 | Professional | 26 · Professional part | $30.20 | $42.66 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $112.20 | Professional | TC · Technical part | $72.44 | $72.44 | $112.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $117.49 | $117.49 | $117.49 |
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 $141.25 Median $141.25 Typical High $181.97 | Professional | None (both parts) | $141.25 | $141.25 | $181.97 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $51.29 | Professional | 26 · Professional part | $39.81 | $39.81 | $51.29 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $128.82 | Professional | TC · Technical part | $102.33 | $102.33 | $128.82 |
CareSource Setting Professional Modifier None (both parts) Typical Low $31.62 Median $165.96 Typical High $257.04 | Professional | None (both parts) | $31.62 | $165.96 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $134.90 Typical High $204.17 | Facility | None | $89.13 | $134.90 | $204.17 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $158.49 Typical High $281.84 | Professional | None (both parts) | $93.33 | $158.49 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $36.31 Typical High $64.57 | Professional | 26 · Professional part | $27.54 | $36.31 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $104.71 Typical High $213.80 | Professional | TC · Technical part | $56.23 | $104.71 | $213.80 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
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 $114.82 Median $147.91 Typical High $288.40 | Professional | None (both parts) | $114.82 | $147.91 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.02 Typical High $63.10 | Professional | 26 · Professional part | $30.90 | $38.02 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $109.65 Typical High $239.88 | Professional | TC · Technical part | $87.10 | $109.65 | $239.88 |
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 $57.54 Typical High $66.07 | Professional | 52 · Reduced service | $57.54 | $57.54 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $26.92 | Professional | 53 · Discontinued | $22.91 | $22.91 | $26.92 |
Where Arkansas sits
The same service costs 4.9 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· 40th 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.