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 $24.55 Median $29.51 Typical High $42.66 | Facility | None | $24.55 | $29.51 | $42.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $42.66 Typical High $63.10 | Professional | None (both parts) | $36.31 | $42.66 | $63.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $18.20 Typical High $20.42 | Professional | 26 · Professional part | $12.30 | $18.20 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $24.55 Typical High $42.66 | Professional | TC · Technical part | $24.55 | $24.55 | $42.66 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.05 Typical High $22.91 | Professional | 26 · Professional part | $19.05 | $19.05 | $22.91 |
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 $43.65 Median $43.65 Typical High $56.23 | Professional | None (both parts) | $43.65 | $43.65 | $56.23 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $17.78 Typical High $22.91 | Professional | 26 · Professional part | $17.78 | $17.78 | $22.91 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $26.30 Typical High $33.88 | Professional | TC · Technical part | $26.30 | $26.30 | $33.88 |
CareSource Setting Professional Modifier None (both parts) Typical Low $16.98 Median $38.90 Typical High $66.07 | Professional | None (both parts) | $16.98 | $38.90 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $60.26 Typical High $181.97 | Facility | None | $40.74 | $60.26 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $40.74 Typical High $79.43 | Professional | None (both parts) | $33.11 | $40.74 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $15.49 Typical High $26.30 | Professional | 26 · Professional part | $11.48 | $15.49 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $25.70 Typical High $52.48 | Professional | TC · Technical part | $20.89 | $25.70 | $52.48 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $64.57 | $64.57 | $64.57 |
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 $37.15 Median $45.71 Typical High $79.43 | Professional | None (both parts) | $37.15 | $45.71 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $14.45 Typical High $25.70 | Professional | 26 · Professional part | $12.30 | $14.45 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $30.90 Typical High $54.95 | Professional | TC · Technical part | $23.44 | $30.90 | $54.95 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $21.38 Typical High $21.88 | Professional | 52 · Reduced service | $18.20 | $21.38 | $21.88 |
Where Arkansas sits
The same service costs 4.0 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· 41st of 51
$44.67
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.