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 $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $58.88 Typical High $58.88 | Professional | None (both parts) | $36.31 | $58.88 | $58.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $85.11 | $85.11 | $85.11 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $128.82 | Professional | None (both parts) | $97.72 | $97.72 | $128.82 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $9.77 Typical High $12.88 | Professional | 26 · Professional part | $9.77 | $9.77 | $12.88 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $97.72 | Professional | TC · Technical part | $74.13 | $74.13 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $97.72 | Facility | None | $74.13 | $74.13 | $97.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $74.13 Typical High $89.13 | Professional | None (both parts) | $63.10 | $74.13 | $89.13 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None (both parts) | $97.72 | $97.72 | $97.72 |
United Setting Professional Modifier None (both parts) Typical Low $37.15 Median $60.26 Typical High $81.28 | Professional | None (both parts) | $37.15 | $60.26 | $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 $3.72 Median $6.03 Typical High $8.13 | Professional | RR · Rental | $3.72 | $6.03 | $8.13 |
United Setting Professional Modifier UE · Used equipment Typical Low $27.54 Median $44.67 Typical High $60.26 | Professional | UE · Used equipment | $27.54 | $44.67 | $60.26 |
Where Arkansas sits
The same service costs 4.6 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· 11th of 51
$97.72
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.