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 $245.47 Median $309.03 Typical High $309.03 | Facility | None | $245.47 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $309.03 Typical High $363.08 | Professional | None (both parts) | $223.87 | $309.03 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $50.12 Typical High $57.54 | Professional | 26 · Professional part | $35.48 | $50.12 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $257.04 Typical High $309.03 | Professional | TC · Technical part | $194.98 | $257.04 | $309.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $407.38 | Professional | None (both parts) | $281.84 | $281.84 | $407.38 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $52.48 Typical High $61.66 | Professional | 26 · Professional part | $46.77 | $52.48 | $61.66 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | TC · Technical part | $234.42 | $234.42 | $234.42 |
BCBS Arkansas Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $316.23 | Facility | None | $223.87 | $223.87 | $316.23 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $257.04 Median $288.40 Typical High $338.84 | Professional | None (both parts) | $257.04 | $288.40 | $338.84 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $46.77 Typical High $56.23 | Professional | 26 · Professional part | $42.66 | $46.77 | $56.23 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $239.88 Typical High $288.40 | Professional | TC · Technical part | $213.80 | $239.88 | $288.40 |
CareSource Setting Professional Modifier None (both parts) Typical Low $36.31 Median $199.53 Typical High $309.03 | Professional | None (both parts) | $36.31 | $199.53 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $295.12 Typical High $416.87 | Facility | None | $177.83 | $295.12 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $269.15 Typical High $446.68 | Professional | None (both parts) | $218.78 | $269.15 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $47.86 Typical High $74.13 | Professional | 26 · Professional part | $34.67 | $47.86 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $229.09 Typical High $371.54 | Professional | TC · Technical part | $181.97 | $229.09 | $371.54 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $467.74 | Professional | None (both parts) | $323.59 | $323.59 | $467.74 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $58.88 Typical High $70.79 | Professional | 26 · Professional part | $53.70 | $58.88 | $70.79 |
Qualchoice Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | TC · Technical part | $269.15 | $269.15 | $269.15 |
United Setting Facility Modifier None Typical Low $316.23 Median $389.05 Typical High $707.95 | Facility | None | $316.23 | $389.05 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $269.15 Typical High $501.19 | Professional | None (both parts) | $213.80 | $269.15 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $39.81 Typical High $83.18 | Professional | 26 · Professional part | $28.18 | $39.81 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $239.88 Typical High $416.87 | Professional | TC · Technical part | $186.21 | $239.88 | $416.87 |
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 $125.89 Median $154.88 Typical High $154.88 | Professional | 52 · Reduced service | $125.89 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $50.12 | $61.66 | $61.66 |
Where Arkansas sits
The same service costs 3.2 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· 20th of 51
$302
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.