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 $151.36 Median $173.78 Typical High $173.78 | Facility | None | $151.36 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $138.04 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $51.29 | $75.86 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $97.72 Typical High $100.00 | Professional | TC · Technical part | $89.13 | $97.72 | $100.00 |
BCBS Arkansas Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $891.25 | Facility | None | $660.69 | $660.69 | $891.25 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $218.78 | Professional | None (both parts) | $169.82 | $169.82 | $218.78 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $91.20 | Professional | 26 · Professional part | $70.79 | $70.79 | $91.20 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $128.82 | Professional | TC · Technical part | $100.00 | $100.00 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $524.81 Typical High $1,202.26 | Facility | None | $144.54 | $524.81 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $151.36 Typical High $295.12 | Professional | None (both parts) | $123.03 | $151.36 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $63.10 Typical High $114.82 | Professional | 26 · Professional part | $48.98 | $63.10 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $89.13 Typical High $181.97 | Professional | TC · Technical part | $67.61 | $89.13 | $181.97 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $1,288.25 Typical High $2,344.23 | Facility | None | $1,023.29 | $1,288.25 | $2,344.23 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $165.96 Typical High $295.12 | Professional | None (both parts) | $128.82 | $165.96 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $63.10 Typical High $112.20 | Professional | 26 · Professional part | $54.95 | $63.10 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $102.33 Typical High $186.21 | Professional | TC · Technical part | $69.18 | $102.33 | $186.21 |
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 $69.18 Median $87.10 Typical High $87.10 | Professional | 52 · Reduced service | $69.18 | $87.10 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $34.67 Typical High $34.67 | Professional | 53 · Discontinued | $27.54 | $34.67 | $34.67 |
Where Arkansas sits
The same service costs 4.3 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· 30th of 51
$174
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.