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 $67.61 Median $269.15 Typical High $269.15 | Facility | None | $67.61 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $181.97 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $19.05 Typical High $19.05 | Professional | 26 · Professional part | $12.59 | $19.05 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $263.03 Typical High $263.03 | Professional | TC · Technical part | $177.83 | $263.03 | $263.03 |
BCBS Arkansas Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $309.03 | Facility | None | $223.87 | $223.87 | $309.03 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $17.78 Typical High $22.91 | Professional | 26 · Professional part | $17.78 | $17.78 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $295.12 Typical High $407.38 | Facility | None | $50.12 | $295.12 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $52.48 Typical High $91.20 | Professional | None (both parts) | $39.81 | $52.48 | $91.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $16.22 Typical High $28.84 | Professional | 26 · Professional part | $12.59 | $16.22 | $28.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $36.31 Typical High $63.10 | Professional | TC · Technical part | $29.51 | $36.31 | $63.10 |
United Setting Facility Modifier None Typical Low $316.23 Median $389.05 Typical High $707.95 | Facility | None | $316.23 | $389.05 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $50.12 Median $213.80 Typical High $436.52 | Professional | None (both parts) | $50.12 | $213.80 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $15.85 Typical High $28.18 | Professional | 26 · Professional part | $13.80 | $15.85 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $213.80 Typical High $407.38 | Professional | TC · Technical part | $34.67 | $213.80 | $407.38 |
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 $91.20 Median $134.90 Typical High $134.90 | Professional | 52 · Reduced service | $91.20 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $53.70 Typical High $53.70 | Professional | 53 · Discontinued | $36.31 | $53.70 | $53.70 |
Where Arkansas sits
The same service costs 6.6 times more in Colorado than in Michigan. 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· 14th of 51
$214
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.