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 $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $11.48 Median $17.38 Typical High $17.38 | Professional | None (both parts) | $11.48 | $17.38 | $17.38 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None (both parts) | $22.91 | $22.91 | $22.91 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $28.84 Median $28.84 Typical High $38.02 | Professional | None (both parts) | $28.84 | $28.84 | $38.02 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $2.88 Median $2.88 Typical High $3.80 | Professional | 26 · Professional part | $2.88 | $2.88 | $3.80 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $21.38 Typical High $28.18 | Professional | TC · Technical part | $21.38 | $21.38 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $29.51 | Facility | None | $22.39 | $22.39 | $29.51 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.05 Median $22.39 Typical High $26.30 | Professional | None (both parts) | $19.05 | $22.39 | $26.30 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | None (both parts) | $26.30 | $26.30 | $26.30 |
United Setting Professional Modifier None (both parts) Typical Low $11.48 Median $17.38 Typical High $25.12 | Professional | None (both parts) | $11.48 | $17.38 | $25.12 |
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 $1.15 Median $1.78 Typical High $2.51 | Professional | RR · Rental | $1.15 | $1.78 | $2.51 |
United Setting Professional Modifier UE · Used equipment Typical Low $8.71 Median $13.18 Typical High $19.05 | Professional | UE · Used equipment | $8.71 | $13.18 | $19.05 |
Where Arkansas sits
The same service costs 2.4 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· 24th of 51
$26.30
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.