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 $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $46.77 Typical High $72.44 | Professional | None (both parts) | $44.67 | $46.77 | $72.44 |
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 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | RR · Rental | $8.51 | $8.51 | $8.51 |
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 $57.54 Median $57.54 Typical High $77.62 | Facility | None | $57.54 | $57.54 | $77.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $57.54 Typical High $77.62 | Professional | None (both parts) | $48.98 | $57.54 | $77.62 |
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 |
Qualchoice Setting Professional Modifier RR · Rental Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | RR · Rental | $10.00 | $10.00 | $10.00 |
United Setting Professional Modifier None (both parts) Typical Low $32.36 Median $47.86 Typical High $77.62 | Professional | None (both parts) | $32.36 | $47.86 | $77.62 |
United Setting Professional Modifier RR · Rental Typical Low $3.31 Median $5.37 Typical High $8.32 | Professional | RR · Rental | $3.31 | $5.37 | $8.32 |
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 UE · Used equipment Typical Low $24.55 Median $37.15 Typical High $60.26 | Professional | UE · Used equipment | $24.55 | $37.15 | $60.26 |
Where Arkansas sits
The same service costs 3.7 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· 15th 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.