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 $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $16.60 Median $19.50 Typical High $19.50 | Professional | None (both parts) | $16.60 | $19.50 | $19.50 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None (both parts) | $36.31 | $36.31 | $36.31 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $3.89 Median $3.89 Typical High $3.89 | Professional | RR · Rental | $3.89 | $3.89 | $3.89 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $42.66 | Professional | None (both parts) | $32.36 | $32.36 | $42.66 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $3.24 Typical High $4.27 | Professional | 26 · Professional part | $3.24 | $3.24 | $4.27 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $23.99 Typical High $31.62 | Professional | TC · Technical part | $23.99 | $23.99 | $31.62 |
CareSource Setting Facility Modifier None Typical Low $3.72 Median $28.18 Typical High $37.15 | Facility | None | $3.72 | $28.18 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $32.36 | Facility | None | $24.55 | $24.55 | $32.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $20.42 Median $24.55 Typical High $32.36 | Professional | None (both parts) | $20.42 | $24.55 | $32.36 |
Cigna Setting Professional Modifier RR · Rental Typical Low $2.04 Median $2.45 Typical High $3.16 | Professional | RR · Rental | $2.04 | $2.45 | $3.16 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None (both parts) | $41.69 | $41.69 | $41.69 |
Qualchoice Setting Professional Modifier RR · Rental Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | RR · Rental | $4.47 | $4.47 | $4.47 |
United Setting Professional Modifier None (both parts) Typical Low $14.13 Median $21.88 Typical High $33.88 | Professional | None (both parts) | $14.13 | $21.88 | $33.88 |
United Setting Professional Modifier RR · Rental Typical Low $1.41 Median $2.19 Typical High $3.39 | Professional | RR · Rental | $1.41 | $2.19 | $3.39 |
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 UE · Used equipment Typical Low $12.59 Median $14.45 Typical High $14.45 | Professional | UE · Used equipment | $12.59 | $14.45 | $14.45 |
United Setting Professional Modifier UE · Used equipment Typical Low $10.72 Median $16.22 Typical High $25.70 | Professional | UE · Used equipment | $10.72 | $16.22 | $25.70 |
Where Arkansas sits
The same service costs 13.5 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· 18th of 51
$32.36
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.