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 $363.08 Median $537.03 Typical High $1,000.00 | Facility | None | $363.08 | $537.03 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $363.08 Typical High $363.08 | Professional | None (both parts) | $239.88 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $91.20 Typical High $91.20 | Professional | 26 · Professional part | $63.10 | $91.20 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $275.42 Typical High $275.42 | Professional | TC · Technical part | $173.78 | $275.42 | $275.42 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | TC · Technical part | $204.17 | $204.17 | $204.17 |
BCBS Arkansas Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $239.88 | Facility | None | $173.78 | $173.78 | $239.88 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $380.19 | Professional | None (both parts) | $295.12 | $295.12 | $380.19 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $95.50 | Professional | 26 · Professional part | $74.13 | $74.13 | $95.50 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $281.84 | Professional | TC · Technical part | $218.78 | $218.78 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $281.84 Typical High $478.63 | Facility | None | $83.18 | $281.84 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $281.84 Typical High $602.56 | Professional | None (both parts) | $190.55 | $281.84 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $63.10 Typical High $131.83 | Professional | 26 · Professional part | $51.29 | $63.10 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $190.55 Typical High $489.78 | Professional | TC · Technical part | $138.04 | $190.55 | $489.78 |
Qualchoice Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | TC · Technical part | $234.42 | $234.42 | $234.42 |
United Setting Facility Modifier None Typical Low $229.09 Median $288.40 Typical High $524.81 | Facility | None | $229.09 | $288.40 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $354.81 Typical High $575.44 | Professional | None (both parts) | $204.17 | $354.81 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $67.61 Typical High $117.49 | Professional | 26 · Professional part | $56.23 | $67.61 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $257.04 Typical High $478.63 | Professional | TC · Technical part | $144.54 | $257.04 | $478.63 |
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 $125.89 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $125.89 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $72.44 Typical High $72.44 | Professional | 53 · Discontinued | $50.12 | $72.44 | $72.44 |
Where Arkansas sits
The same service costs 5.2 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· 27th of 51
$324
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.