How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $31.62 Typical High $53.70 | Professional | None (both parts) | $31.62 | $31.62 | $53.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.05 Typical High $32.36 | Professional | 26 · Professional part | $19.05 | $19.05 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $12.30 Typical High $21.38 | Professional | TC · Technical part | $12.30 | $12.30 | $21.38 |
BCBS Arkansas Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $50.12 | Facility | None | $36.31 | $36.31 | $50.12 |
United Setting Facility Modifier None Typical Low $48.98 Median $60.26 Typical High $112.20 | Facility | None | $48.98 | $60.26 | $112.20 |
United Setting Professional Modifier None (both parts) Typical Low $46.77 Median $69.18 Typical High $120.23 | Professional | None (both parts) | $46.77 | $69.18 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $41.69 Typical High $67.61 | Professional | 26 · Professional part | $27.54 | $41.69 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $26.30 Typical High $52.48 | Professional | TC · Technical part | $17.78 | $26.30 | $52.48 |
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 $15.85 Median $15.85 Typical High $26.30 | Professional | 52 · Reduced service | $15.85 | $15.85 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $10.72 | Professional | 53 · Discontinued | $6.31 | $6.31 | $10.72 |
Where Arkansas sits
The same service costs 14.8 times more in Texas than in Arkansas. 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· 51st of 51
$36.31
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.