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 $524.81 Median $870.96 Typical High $1,445.44 | Facility | None | $524.81 | $870.96 | $1,445.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $524.81 Typical High $575.44 | Professional | None (both parts) | $478.63 | $524.81 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $147.91 Typical High $147.91 | Professional | 26 · Professional part | $117.49 | $147.91 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $371.54 Typical High $436.52 | Professional | TC · Technical part | $363.08 | $371.54 | $436.52 |
BCBS Arkansas Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $398.11 | Facility | None | $288.40 | $288.40 | $398.11 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $562.34 | Professional | None (both parts) | $446.68 | $446.68 | $562.34 |
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 $338.84 Median $338.84 Typical High $436.52 | Professional | TC · Technical part | $338.84 | $338.84 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $489.78 Typical High $691.83 | Facility | None | $354.81 | $489.78 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $457.09 Typical High $851.14 | Professional | None (both parts) | $316.23 | $457.09 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $89.13 Typical High $165.96 | Professional | 26 · Professional part | $72.44 | $89.13 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $316.23 Typical High $676.08 | Professional | TC · Technical part | $251.19 | $316.23 | $676.08 |
United Setting Professional Modifier None (both parts) Typical Low $346.74 Median $562.34 Typical High $831.76 | Professional | None (both parts) | $346.74 | $562.34 | $831.76 |
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 $457.09 Typical High $691.83 | Professional | TC · Technical part | $263.03 | $457.09 | $691.83 |
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 $263.03 Typical High $288.40 | Professional | 52 · Reduced service | $239.88 | $263.03 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $104.71 Typical High $114.82 | Professional | 53 · Discontinued | $95.50 | $104.71 | $114.82 |
Where Arkansas sits
The same service costs 5.4 times more in Wyoming than in Texas. 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· 28th of 51
$525
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.