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 $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $131.83 | Professional | None (both parts) | $75.86 | $75.86 | $131.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $104.71 | $104.71 | $104.71 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $162.18 | Professional | None (both parts) | $123.03 | $123.03 | $162.18 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.30 Typical High $16.22 | Professional | 26 · Professional part | $12.30 | $12.30 | $16.22 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $123.03 | Professional | TC · Technical part | $93.33 | $93.33 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $123.03 | Facility | None | $95.50 | $95.50 | $123.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $95.50 Typical High $112.20 | Professional | None (both parts) | $81.28 | $95.50 | $112.20 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $120.23 | $120.23 | $120.23 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $75.86 Typical High $114.82 | Professional | None (both parts) | $52.48 | $75.86 | $114.82 |
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 $5.25 Median $7.59 Typical High $11.48 | Professional | RR · Rental | $5.25 | $7.59 | $11.48 |
United Setting Professional Modifier UE · Used equipment Typical Low $39.81 Median $57.54 Typical High $87.10 | Professional | UE · Used equipment | $39.81 | $57.54 | $87.10 |
Where Arkansas sits
The same service costs 2.5 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· 14th of 51
$120
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.