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 $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $512.86 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $151.36 Typical High $151.36 | Professional | 26 · Professional part | $114.82 | $151.36 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $446.68 Typical High $446.68 | Professional | TC · Technical part | $398.11 | $446.68 | $446.68 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 26 · Professional part | $190.55 | $190.55 | $190.55 |
BCBS Arkansas Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $1,258.93 | Facility | None | $891.25 | $891.25 | $1,258.93 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $524.81 Median $575.44 Typical High $691.83 | Professional | None (both parts) | $524.81 | $575.44 | $691.83 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $144.54 Typical High $173.78 | Professional | 26 · Professional part | $131.83 | $144.54 | $173.78 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $436.52 Typical High $512.86 | Professional | TC · Technical part | $389.05 | $436.52 | $512.86 |
CareSource Setting Professional Modifier None (both parts) Typical Low $151.36 Median $524.81 Typical High $794.33 | Professional | None (both parts) | $151.36 | $524.81 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $1,000.00 Typical High $1,000.00 | Facility | None | $194.98 | $1,000.00 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $549.54 Typical High $812.83 | Professional | None (both parts) | $436.52 | $549.54 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $131.83 Typical High $199.53 | Professional | 26 · Professional part | $114.82 | $131.83 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $407.38 Typical High $616.60 | Professional | TC · Technical part | $323.59 | $407.38 | $616.60 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 26 · Professional part | $218.78 | $218.78 | $218.78 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,412.54 Typical High $2,570.40 | Facility | None | $1,122.02 | $1,412.54 | $2,570.40 |
United Setting Professional Modifier None (both parts) Typical Low $436.52 Median $537.03 Typical High $977.24 | Professional | None (both parts) | $436.52 | $537.03 | $977.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $141.25 Typical High $229.09 | Professional | 26 · Professional part | $100.00 | $141.25 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $416.87 Typical High $758.58 | Professional | TC · Technical part | $323.59 | $416.87 | $758.58 |
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 $269.15 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $269.15 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $109.65 | $120.23 | $120.23 |
Where Arkansas sits
The same service costs 3.1 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· 23rd of 51
$603
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.