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 $33.11 Median $33.11 Typical High $95.50 | Facility | None | $33.11 | $33.11 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $56.23 | Professional | None (both parts) | $33.11 | $33.11 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.13 Typical High $22.91 | Professional | 26 · Professional part | $14.13 | $14.13 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $18.62 Typical High $33.11 | Professional | TC · Technical part | $18.62 | $18.62 | $33.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $41.69 | Professional | None (both parts) | $39.81 | $39.81 | $41.69 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $39.81 | $39.81 | $39.81 |
BCBS Arkansas Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $48.98 | Facility | None | $34.67 | $34.67 | $48.98 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $38.02 | Professional | 26 · Professional part | $28.84 | $28.84 | $38.02 |
CareSource Setting Professional Modifier None (both parts) Typical Low $32.36 Median $42.66 Typical High $74.13 | Professional | None (both parts) | $32.36 | $42.66 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $43.65 Typical High $64.57 | Professional | None (both parts) | $33.11 | $43.65 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $43.65 Typical High $60.26 | Professional | 26 · Professional part | $18.62 | $43.65 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $58.88 Typical High $79.43 | Professional | TC · Technical part | $25.70 | $58.88 | $79.43 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None (both parts) | $45.71 | $45.71 | $45.71 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $45.71 | Professional | 26 · Professional part | $35.48 | $35.48 | $45.71 |
United Setting Facility Modifier None Typical Low $48.98 Median $60.26 Typical High $112.20 | Facility | None | $48.98 | $60.26 | $112.20 |
United Setting Professional Modifier None (both parts) Typical Low $23.44 Median $28.18 Typical High $61.66 | Professional | None (both parts) | $23.44 | $28.18 | $61.66 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | XU · Unusual separate service | $34.67 | $34.67 | $34.67 |
Qualchoice Setting Professional Modifier XU · Unusual separate service Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | XU · Unusual separate service | $40.74 | $40.74 | $40.74 |
Where Arkansas sits
The same service costs 4.7 times more in Minnesota than in Kentucky. 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· 36th of 51
$39.81
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.