How much rates vary
Facilitymedian $457 · 10th to 90th $457 to $646Professionalmedian $324 · 10th to 90th $257 to $372
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 $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $257.04 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $204.17 Typical High $204.17 | Professional | 26 · Professional part | $162.18 | $204.17 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $120.23 Typical High $120.23 | Professional | TC · Technical part | $102.33 | $120.23 | $120.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $407.38 | Professional | None (both parts) | $309.03 | $309.03 | $407.38 |
BCBS Arkansas Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $645.65 | Facility | None | $457.09 | $457.09 | $645.65 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $257.04 Median $288.40 Typical High $346.74 | Professional | None (both parts) | $257.04 | $288.40 | $346.74 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $181.97 Typical High $218.78 | Professional | 26 · Professional part | $162.18 | $181.97 | $218.78 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $104.71 Typical High $125.89 | Professional | TC · Technical part | $95.50 | $104.71 | $125.89 |
CareSource Setting Professional Modifier None (both parts) Typical Low $104.71 Median $213.80 Typical High $363.08 | Professional | None (both parts) | $104.71 | $213.80 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $467.74 Typical High $467.74 | Facility | None | $331.13 | $467.74 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $281.84 Typical High $426.58 | Professional | None (both parts) | $239.88 | $281.84 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $177.83 Typical High $269.15 | Professional | 26 · Professional part | $151.36 | $177.83 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $102.33 Typical High $162.18 | Professional | TC · Technical part | $89.13 | $102.33 | $162.18 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $467.74 | Professional | None (both parts) | $354.81 | $354.81 | $467.74 |
United Setting Facility Modifier None Typical Low $489.78 Median $602.56 Typical High $1,122.02 | Facility | None | $489.78 | $602.56 | $1,122.02 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $295.12 Typical High $478.63 | Professional | None (both parts) | $218.78 | $295.12 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $190.55 Typical High $309.03 | Professional | 26 · Professional part | $134.90 | $190.55 | $309.03 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $117.49 Typical High $177.83 | Professional | TC · Technical part | $85.11 | $117.49 | $177.83 |
4 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 $162.18 Typical High $162.18 | Professional | 52 · Reduced service | $125.89 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $64.57 Typical High $64.57 | Professional | 53 · Discontinued | $51.29 | $64.57 | $64.57 |
Ambetter Setting Professional Modifier GP · Physical therapy plan Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | GP · Physical therapy plan | $407.38 | $407.38 | $407.38 |
Qualchoice Setting Professional Modifier GP · Physical therapy plan Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | GP · Physical therapy plan | $467.74 | $467.74 | $467.74 |
Where Arkansas sits
The same service costs 3.3 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· 17th of 51
$324
AK $589TX $178
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.