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 $512.86 Median $512.86 Typical High $1,698.24 | Facility | None | $512.86 | $512.86 | $1,698.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $512.86 Typical High $645.65 | Professional | None (both parts) | $467.74 | $512.86 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $245.47 Typical High $316.23 | Professional | 26 · Professional part | $199.53 | $245.47 | $316.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $275.42 Typical High $380.19 | Professional | TC · Technical part | $245.47 | $275.42 | $380.19 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $758.58 Median $758.58 Typical High $870.96 | Professional | None (both parts) | $758.58 | $758.58 | $870.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $363.08 Typical High $371.54 | Professional | 26 · Professional part | $338.84 | $363.08 | $371.54 |
BCBS Arkansas Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,621.81 | Facility | None | $1,202.26 | $1,202.26 | $1,621.81 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $478.63 Median $549.54 Typical High $707.95 | Professional | None (both parts) | $478.63 | $549.54 | $707.95 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $263.03 Typical High $338.84 | Professional | 26 · Professional part | $229.09 | $263.03 | $338.84 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $288.40 Typical High $363.08 | Professional | TC · Technical part | $251.19 | $288.40 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $870.96 Typical High $1,380.38 | Facility | None | $346.74 | $870.96 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $660.69 Typical High $1,230.27 | Professional | None (both parts) | $389.05 | $660.69 | $1,230.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $275.42 Typical High $446.68 | Professional | 26 · Professional part | $181.97 | $275.42 | $446.68 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $331.13 Typical High $588.84 | Professional | TC · Technical part | $204.17 | $331.13 | $588.84 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None (both parts) | $870.96 | $870.96 | $870.96 |
United Setting Facility Modifier None Typical Low $1,819.70 Median $2,238.72 Typical High $4,073.80 | Facility | None | $1,819.70 | $2,238.72 | $4,073.80 |
United Setting Professional Modifier None (both parts) Typical Low $436.52 Median $831.76 Typical High $1,698.24 | Professional | None (both parts) | $436.52 | $831.76 | $1,698.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $263.03 Typical High $436.52 | Professional | 26 · Professional part | $208.93 | $263.03 | $436.52 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $426.58 Typical High $1,071.52 | Professional | TC · Technical part | $223.87 | $426.58 | $1,071.52 |
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 $251.19 Median $257.04 Typical High $257.04 | Professional | 52 · Reduced service | $251.19 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $102.33 Typical High $102.33 | Professional | 53 · Discontinued | $100.00 | $102.33 | $102.33 |
Where Arkansas sits
The same service costs 4.9 times more in Alaska than in Florida. 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· 26th of 51
$708
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.