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 $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $138.04 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $102.33 Typical High $104.71 | Professional | 26 · Professional part | $81.28 | $102.33 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $81.28 Typical High $81.28 | Professional | TC · Technical part | $61.66 | $81.28 | $81.28 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $229.09 | Professional | None (both parts) | $173.78 | $173.78 | $229.09 |
BCBS Arkansas Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $380.19 | Facility | None | $263.03 | $263.03 | $380.19 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $144.54 Median $162.18 Typical High $190.55 | Professional | None (both parts) | $144.54 | $162.18 | $190.55 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $91.20 Typical High $109.65 | Professional | 26 · Professional part | $83.18 | $91.20 | $109.65 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $69.18 Typical High $83.18 | Professional | TC · Technical part | $63.10 | $69.18 | $83.18 |
CareSource Setting Professional Modifier None (both parts) Typical Low $66.07 Median $117.49 Typical High $194.98 | Professional | None (both parts) | $66.07 | $117.49 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $331.13 | Facility | None | $257.04 | $257.04 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $151.36 Typical High $234.42 | Professional | None (both parts) | $128.82 | $151.36 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $89.13 Typical High $134.90 | Professional | 26 · Professional part | $75.86 | $89.13 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $63.10 Typical High $97.72 | Professional | TC · Technical part | $52.48 | $63.10 | $97.72 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $263.03 | Professional | None (both parts) | $199.53 | $199.53 | $263.03 |
United Setting Facility Modifier None Typical Low $281.84 Median $354.81 Typical High $645.65 | Facility | None | $281.84 | $354.81 | $645.65 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $162.18 Typical High $269.15 | Professional | None (both parts) | $120.23 | $162.18 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $97.72 Typical High $154.88 | Professional | 26 · Professional part | $67.61 | $97.72 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $69.18 Typical High $112.20 | Professional | TC · Technical part | $52.48 | $69.18 | $112.20 |
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 $69.18 Median $91.20 Typical High $91.20 | Professional | 52 · Reduced service | $69.18 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $27.54 | $37.15 | $37.15 |
Where Arkansas sits
The same service costs 4.0 times more in Alaska than in Texas. 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· 16th of 51
$182
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.