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 $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $125.89 Typical High $138.04 | Professional | None (both parts) | $91.20 | $125.89 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $37.15 Typical High $38.02 | Professional | 26 · Professional part | $23.99 | $37.15 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $89.13 Typical High $100.00 | Professional | TC · Technical part | $64.57 | $89.13 | $100.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $144.54 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $144.54 | $169.82 | $169.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $46.77 Typical High $48.98 | Professional | 26 · Professional part | $39.81 | $46.77 | $48.98 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | TC · Technical part | $104.71 | $104.71 | $104.71 |
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 $114.82 Median $114.82 Typical High $147.91 | Professional | None (both parts) | $114.82 | $114.82 | $147.91 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $43.65 | Professional | 26 · Professional part | $33.88 | $33.88 | $43.65 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $102.33 | Professional | TC · Technical part | $81.28 | $81.28 | $102.33 |
CareSource Setting Professional Modifier None (both parts) Typical Low $27.54 Median $91.20 Typical High $128.82 | Professional | None (both parts) | $27.54 | $91.20 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $147.91 Typical High $199.53 | Facility | None | $100.00 | $147.91 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $107.15 Typical High $194.98 | Professional | None (both parts) | $85.11 | $107.15 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $31.62 Typical High $57.54 | Professional | 26 · Professional part | $23.99 | $31.62 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $74.13 Typical High $134.90 | Professional | TC · Technical part | $61.66 | $74.13 | $134.90 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $165.96 Median $194.98 Typical High $199.53 | Professional | None (both parts) | $165.96 | $194.98 | $199.53 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $53.70 Typical High $56.23 | Professional | 26 · Professional part | $46.77 | $53.70 | $56.23 |
Qualchoice Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | TC · Technical part | $120.23 | $120.23 | $120.23 |
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 $91.20 Median $120.23 Typical High $190.55 | Professional | None (both parts) | $91.20 | $120.23 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $34.67 Typical High $56.23 | Professional | 26 · Professional part | $27.54 | $34.67 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $83.18 Typical High $134.90 | Professional | TC · Technical part | $66.07 | $83.18 | $134.90 |
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 $169.82 Median $169.82 Typical High $169.82 | Professional | 59 · Distinct service | $169.82 | $169.82 | $169.82 |
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· 23rd of 51
$126
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.