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 $281.84 Median $281.84 Typical High $288.40 | Facility | None | $281.84 | $281.84 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $281.84 Typical High $288.40 | Professional | None (both parts) | $229.09 | $281.84 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $79.43 Typical High $85.11 | Professional | 26 · Professional part | $64.57 | $79.43 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $204.17 Typical High $204.17 | Professional | TC · Technical part | $158.49 | $204.17 | $204.17 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $208.93 | Professional | None (both parts) | $169.82 | $169.82 | $208.93 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $100.00 | $100.00 | $100.00 |
BCBS Arkansas Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $676.08 | Facility | None | $478.63 | $478.63 | $676.08 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $239.88 Median $263.03 Typical High $316.23 | Professional | None (both parts) | $239.88 | $263.03 | $316.23 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $77.62 Typical High $93.33 | Professional | 26 · Professional part | $69.18 | $77.62 | $93.33 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $186.21 Typical High $223.87 | Professional | TC · Technical part | $169.82 | $186.21 | $223.87 |
CareSource Setting Professional Modifier None (both parts) Typical Low $58.88 Median $186.21 Typical High $263.03 | Professional | None (both parts) | $58.88 | $186.21 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $812.83 Typical High $891.25 | Facility | None | $575.44 | $812.83 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $346.74 Typical High $478.63 | Professional | None (both parts) | $229.09 | $346.74 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $107.15 Typical High $141.25 | Professional | 26 · Professional part | $61.66 | $107.15 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $245.47 Typical High $354.81 | Professional | TC · Technical part | $154.88 | $245.47 | $354.81 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 26 · Professional part | $114.82 | $114.82 | $114.82 |
United Setting Facility Modifier None Typical Low $724.44 Median $891.25 Typical High $1,621.81 | Facility | None | $724.44 | $891.25 | $1,621.81 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $257.04 Typical High $446.68 | Professional | None (both parts) | $194.98 | $257.04 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $79.43 Typical High $131.83 | Professional | 26 · Professional part | $57.54 | $79.43 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $177.83 Typical High $316.23 | Professional | TC · Technical part | $138.04 | $177.83 | $316.23 |
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 $117.49 Median $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $117.49 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $46.77 | $56.23 | $56.23 |
Where Arkansas sits
The same service costs 3.5 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· 24th of 51
$288
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.