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 $478.63 Median $707.95 Typical High $707.95 | Professional | None (both parts) | $478.63 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $144.54 Typical High $144.54 | Professional | 26 · Professional part | $109.65 | $144.54 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $562.34 Typical High $562.34 | Professional | TC · Technical part | $371.54 | $562.34 | $562.34 |
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 $489.78 Median $489.78 Typical High $630.96 | Professional | None (both parts) | $489.78 | $489.78 | $630.96 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $131.83 | Professional | 26 · Professional part | $102.33 | $102.33 | $131.83 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $389.05 Typical High $489.78 | Professional | TC · Technical part | $389.05 | $389.05 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $588.84 Typical High $1,380.38 | Facility | None | $251.19 | $588.84 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $501.19 Typical High $891.25 | Professional | None (both parts) | $346.74 | $501.19 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $85.11 Typical High $162.18 | Professional | 26 · Professional part | $69.18 | $85.11 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $354.81 Typical High $741.31 | Professional | TC · Technical part | $275.42 | $354.81 | $741.31 |
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 $380.19 Median $616.60 Typical High $870.96 | Professional | None (both parts) | $380.19 | $616.60 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $93.33 Typical High $162.18 | Professional | 26 · Professional part | $75.86 | $93.33 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $512.86 Typical High $724.44 | Professional | TC · Technical part | $302.00 | $512.86 | $724.44 |
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 $263.03 Median $354.81 Typical High $354.81 | Professional | 52 · Reduced service | $263.03 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $104.71 | $141.25 | $141.25 |
Where Arkansas sits
The same service costs 5.5 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· 20th of 51
$631
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.