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 $4,677.35 Median $4,677.35 Typical High $5,623.41 | Facility | None | $4,677.35 | $4,677.35 | $5,623.41 |
Aetna Setting Professional Modifier None (both parts) Typical Low $4,365.16 Median $4,677.35 Typical High $4,677.35 | Professional | None (both parts) | $4,365.16 | $4,677.35 | $4,677.35 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2,951.21 Median $4,677.35 Typical High $4,677.35 | Professional | 26 · Professional part | $2,951.21 | $4,677.35 | $4,677.35 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $5,011.87 Median $5,011.87 Typical High $7,413.10 | Professional | None (both parts) | $5,011.87 | $5,011.87 | $7,413.10 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $346.74 Typical High $524.81 | Professional | 26 · Professional part | $346.74 | $346.74 | $524.81 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $4,570.88 Median $4,570.88 Typical High $6,918.31 | Professional | TC · Technical part | $4,570.88 | $4,570.88 | $6,918.31 |
Cigna Setting Facility Modifier None Typical Low $2,884.03 Median $3,090.30 Typical High $6,760.83 | Facility | None | $2,884.03 | $3,090.30 | $6,760.83 |
United Setting Facility Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,715.35 | Facility | None | $3,311.31 | $3,311.31 | $3,715.35 |
United Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $2,187.76 Typical High $3,715.35 | Professional | None (both parts) | $1,548.82 | $2,187.76 | $3,715.35 |
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 52 · Reduced service Typical Low $1,479.11 Median $2,290.87 Typical High $2,290.87 | Professional | 52 · Reduced service | $1,479.11 | $2,290.87 | $2,290.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $588.84 Median $933.25 Typical High $933.25 | Professional | 53 · Discontinued | $588.84 | $933.25 | $933.25 |
Where Arkansas sits
The same service costs 87.1 times more in Texas than in Indiana. 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· 6th of 51
$5,012
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.