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 $338.84 Median $1,071.52 Typical High $2,454.71 | Facility | None | $338.84 | $1,071.52 | $2,454.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $338.84 Typical High $426.58 | Professional | None (both parts) | $331.13 | $338.84 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $117.49 Typical High $117.49 | Professional | 26 · Professional part | $93.33 | $117.49 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $281.84 | Professional | TC · Technical part | $223.87 | $223.87 | $281.84 |
BCBS Arkansas Setting Facility Modifier None Typical Low $138.04 Median $218.78 Typical High $302.00 | Facility | None | $138.04 | $218.78 | $302.00 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $354.81 | Professional | None (both parts) | $269.15 | $269.15 | $354.81 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $102.33 | Professional | 26 · Professional part | $77.62 | $77.62 | $102.33 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $257.04 | Professional | TC · Technical part | $194.98 | $194.98 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $154.88 Typical High $524.81 | Facility | None | $125.89 | $154.88 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $338.84 Typical High $588.84 | Professional | None (both parts) | $218.78 | $338.84 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $120.23 Typical High $190.55 | Professional | 26 · Professional part | $83.18 | $120.23 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $245.47 Typical High $398.11 | Professional | TC · Technical part | $154.88 | $245.47 | $398.11 |
United Setting Facility Modifier None Typical Low $79.43 Median $131.83 Typical High $707.95 | Facility | None | $79.43 | $131.83 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $309.03 Typical High $549.54 | Professional | None (both parts) | $239.88 | $309.03 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $89.13 Typical High $165.96 | Professional | 26 · Professional part | $77.62 | $89.13 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $223.87 Typical High $389.05 | Professional | TC · Technical part | $169.82 | $223.87 | $389.05 |
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 $162.18 Median $169.82 Typical High $181.97 | Professional | 52 · Reduced service | $162.18 | $169.82 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $67.61 Typical High $72.44 | Professional | 53 · Discontinued | $66.07 | $67.61 | $72.44 |
Where Arkansas sits
The same service costs 4.8 times more in Alaska than in Utah. 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· 47th of 51
$269
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.