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 $707.95 Median $870.96 Typical High $1,445.44 | Facility | None | $707.95 | $870.96 | $1,445.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $416.87 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $147.91 Typical High $147.91 | Professional | 26 · Professional part | $107.15 | $147.91 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $616.60 Typical High $616.60 | Professional | TC · Technical part | $302.00 | $616.60 | $616.60 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $144.54 Typical High $173.78 | Professional | 26 · Professional part | $144.54 | $144.54 | $173.78 |
BCBS Arkansas Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $501.19 | Facility | None | $363.08 | $363.08 | $501.19 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $602.56 | Professional | None (both parts) | $467.74 | $467.74 | $602.56 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $134.90 | Professional | 26 · Professional part | $107.15 | $107.15 | $134.90 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $363.08 Typical High $457.09 | Professional | TC · Technical part | $363.08 | $363.08 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $537.03 Typical High $1,174.90 | Facility | None | $165.96 | $537.03 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $524.81 Typical High $1,348.96 | Professional | None (both parts) | $354.81 | $524.81 | $1,348.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $87.10 Typical High $162.18 | Professional | 26 · Professional part | $72.44 | $87.10 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $436.52 Typical High $1,071.52 | Professional | TC · Technical part | $257.04 | $436.52 | $1,071.52 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $199.53 Typical High $199.53 | Professional | 26 · Professional part | $181.97 | $199.53 | $199.53 |
United Setting Facility Modifier None Typical Low $457.09 Median $575.44 Typical High $1,047.13 | Facility | None | $457.09 | $575.44 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $346.74 Median $660.69 Typical High $1,230.27 | Professional | None (both parts) | $346.74 | $660.69 | $1,230.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $97.72 Typical High $169.82 | Professional | 26 · Professional part | $79.43 | $97.72 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $489.78 Typical High $1,071.52 | Professional | TC · Technical part | $263.03 | $489.78 | $1,071.52 |
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 $239.88 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $239.88 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $95.50 | $154.88 | $154.88 |
Where Arkansas sits
The same service costs 5.6 times more in Wyoming 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· 31st of 51
$550
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.