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 $1,949.84 Median $2,041.74 Typical High $2,041.74 | Facility | None | $1,949.84 | $2,041.74 | $2,041.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $2,041.74 Typical High $2,570.40 | Professional | None (both parts) | $1,819.70 | $2,041.74 | $2,570.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $457.09 Typical High $588.84 | Professional | 26 · Professional part | $380.19 | $457.09 | $588.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,380.38 Median $1,584.89 Typical High $2,089.30 | Professional | TC · Technical part | $1,380.38 | $1,584.89 | $2,089.30 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $2,951.21 Median $2,951.21 Typical High $3,311.31 | Professional | None (both parts) | $2,951.21 | $2,951.21 | $3,311.31 |
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 $1,862.09 Median $2,137.96 Typical High $2,754.23 | Professional | None (both parts) | $1,862.09 | $2,137.96 | $2,754.23 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $489.78 Typical High $630.96 | Professional | 26 · Professional part | $426.58 | $489.78 | $630.96 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $1,412.54 Median $1,621.81 Typical High $2,089.30 | Professional | TC · Technical part | $1,412.54 | $1,621.81 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $1,230.27 Typical High $2,884.03 | Facility | None | $549.54 | $1,230.27 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $2,238.72 Typical High $3,467.37 | Professional | None (both parts) | $1,445.44 | $2,238.72 | $3,467.37 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $512.86 Typical High $831.76 | Professional | 26 · Professional part | $323.59 | $512.86 | $831.76 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,122.02 Median $1,737.80 Typical High $2,630.27 | Professional | TC · Technical part | $1,122.02 | $1,737.80 | $2,630.27 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $3,388.44 Median $3,388.44 Typical High $3,801.89 | Professional | None (both parts) | $3,388.44 | $3,388.44 | $3,801.89 |
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 $1,659.59 Median $2,041.74 Typical High $3,388.44 | Professional | None (both parts) | $1,659.59 | $2,041.74 | $3,388.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $467.74 Typical High $812.83 | Professional | 26 · Professional part | $380.19 | $467.74 | $812.83 |
United Setting Professional Modifier TC · Technical part Typical Low $1,318.26 Median $1,621.81 Typical High $2,570.40 | Professional | TC · Technical part | $1,318.26 | $1,621.81 | $2,570.40 |
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 $954.99 Median $1,000.00 Typical High $1,000.00 | Professional | 52 · Reduced service | $954.99 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $407.38 Typical High $407.38 | Professional | 53 · Discontinued | $380.19 | $407.38 | $407.38 |
Where Arkansas sits
The same service costs 4.4 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· 39th of 51
$2,042
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.