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 $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $251.19 Typical High $380.19 | Professional | None (both parts) | $208.93 | $251.19 | $380.19 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | RR · Rental | $50.12 | $50.12 | $50.12 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $416.87 Median $416.87 Typical High $549.54 | Professional | None (both parts) | $416.87 | $416.87 | $549.54 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $54.95 | Professional | 26 · Professional part | $41.69 | $41.69 | $54.95 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $407.38 | Professional | TC · Technical part | $309.03 | $309.03 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $416.87 | Facility | None | $309.03 | $309.03 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $309.03 Typical High $416.87 | Professional | None (both parts) | $263.03 | $309.03 | $416.87 |
Cigna Setting Professional Modifier RR · Rental Typical Low $26.30 Median $30.90 Typical High $40.74 | Professional | RR · Rental | $26.30 | $30.90 | $40.74 |
Qualchoice Setting Professional Modifier RR · Rental Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | RR · Rental | $57.54 | $57.54 | $57.54 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $263.03 Typical High $389.05 | Professional | None (both parts) | $181.97 | $263.03 | $389.05 |
United Setting Professional Modifier RR · Rental Typical Low $18.20 Median $26.30 Typical High $39.81 | Professional | RR · Rental | $18.20 | $26.30 | $39.81 |
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 $134.90 Median $194.98 Typical High $288.40 | Professional | UE · Used equipment | $134.90 | $194.98 | $288.40 |
Where Arkansas sits
The same service costs 18.2 times more in Hawaii 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· 12th of 51
$417
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.