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 $398.11 Median $398.11 Typical High $489.78 | Facility | None | $398.11 | $398.11 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $398.11 Typical High $575.44 | Professional | None (both parts) | $389.05 | $398.11 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $61.66 | $95.50 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $446.68 | Professional | TC · Technical part | $302.00 | $302.00 | $446.68 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None (both parts) | $416.87 | $416.87 | $416.87 |
BCBS Arkansas Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $1,096.48 | Facility | None | $794.33 | $794.33 | $1,096.48 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $295.12 Median $331.13 Typical High $436.52 | Professional | None (both parts) | $295.12 | $331.13 | $436.52 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $102.33 | Professional | 26 · Professional part | $77.62 | $77.62 | $102.33 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $251.19 Typical High $338.84 | Professional | TC · Technical part | $251.19 | $251.19 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $512.86 Typical High $758.58 | Facility | None | $229.09 | $512.86 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $371.54 Typical High $724.44 | Professional | None (both parts) | $218.78 | $371.54 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $43.65 Typical High $131.83 | Professional | 26 · Professional part | $36.31 | $43.65 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $323.59 Typical High $645.65 | Professional | TC · Technical part | $186.21 | $323.59 | $645.65 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $79.43 | $79.43 | $79.43 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $1,318.26 Typical High $2,398.83 | Facility | None | $1,071.52 | $1,318.26 | $2,398.83 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $354.81 Typical High $630.96 | Professional | None (both parts) | $186.21 | $354.81 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $54.95 Typical High $134.90 | Professional | 26 · Professional part | $42.66 | $54.95 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $302.00 Typical High $562.34 | Professional | TC · Technical part | $162.18 | $302.00 | $562.34 |
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 $194.98 Median $199.53 Typical High $223.87 | Professional | 52 · Reduced service | $194.98 | $199.53 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $79.43 Typical High $89.13 | Professional | 53 · Discontinued | $79.43 | $79.43 | $89.13 |
Where Arkansas sits
The same service costs 11.5 times more in Alaska than in Alabama. 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
$398
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.