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 $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $75.86 | Professional | None (both parts) | $47.86 | $47.86 | $75.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $75.86 | $75.86 | $75.86 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $102.33 | Professional | None (both parts) | $77.62 | $77.62 | $102.33 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.76 Typical High $10.23 | Professional | 26 · Professional part | $7.76 | $7.76 | $10.23 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $77.62 | Professional | TC · Technical part | $58.88 | $58.88 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $81.28 | Facility | None | $60.26 | $60.26 | $81.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $60.26 Typical High $70.79 | Professional | None (both parts) | $51.29 | $60.26 | $70.79 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $87.10 | $87.10 | $87.10 |
United Setting Professional Modifier None (both parts) Typical Low $33.88 Median $50.12 Typical High $81.28 | Professional | None (both parts) | $33.88 | $50.12 | $81.28 |
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 |
|---|---|---|---|---|---|
United Setting Professional Modifier RR · Rental Typical Low $3.39 Median $5.01 Typical High $8.13 | Professional | RR · Rental | $3.39 | $5.01 | $8.13 |
United Setting Professional Modifier UE · Used equipment Typical Low $25.12 Median $38.02 Typical High $60.26 | Professional | UE · Used equipment | $25.12 | $38.02 | $60.26 |
Where Arkansas sits
The same service costs 2.7 times more in Kansas than in Illinois. 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
$77.62
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.