How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $8.32 Median $8.32 Typical High $8.32 | Facility | None | $8.32 | $8.32 | $8.32 |
Aetna Setting Professional Modifier None (both parts) Typical Low $7.24 Median $8.32 Typical High $8.71 | Professional | None (both parts) | $7.24 | $8.32 | $8.71 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $5.50 Median $6.17 Typical High $6.17 | Professional | UE · Used equipment | $5.50 | $6.17 | $6.17 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | None (both parts) | $12.30 | $12.30 | $12.30 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $13.80 Median $13.80 Typical High $18.20 | Professional | None (both parts) | $13.80 | $13.80 | $18.20 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $1.38 Median $1.38 Typical High $1.82 | Professional | 26 · Professional part | $1.38 | $1.38 | $1.82 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $10.23 Typical High $13.49 | Professional | TC · Technical part | $10.23 | $10.23 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $14.13 | Facility | None | $10.96 | $10.96 | $14.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $9.33 Median $10.96 Typical High $14.13 | Professional | None (both parts) | $9.33 | $10.96 | $14.13 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | None (both parts) | $14.13 | $14.13 | $14.13 |
United Setting Professional Modifier None (both parts) Typical Low $5.62 Median $8.51 Typical High $13.49 | Professional | None (both parts) | $5.62 | $8.51 | $13.49 |
United Setting Professional Modifier UE · Used equipment Typical Low $4.27 Median $6.31 Typical High $10.00 | Professional | UE · Used equipment | $4.27 | $6.31 | $10.00 |
1 more rate 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 |
|---|---|---|---|---|---|
United Setting Professional Modifier RR · Rental Typical Low $0.56 Median $0.85 Typical High $1.38 | Professional | RR · Rental | $0.56 | $0.85 | $1.38 |
Where Arkansas sits
The same service costs 5.0 times more in Hawaii than in New Mexico. 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· 19th of 51
$13.80
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.