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 $416.87 Median $707.95 Typical High $1,000.00 | Facility | None | $416.87 | $707.95 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $416.87 Typical High $416.87 | Professional | None (both parts) | $302.00 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $131.83 Typical High $131.83 | Professional | 26 · Professional part | $85.11 | $131.83 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $281.84 Typical High $309.03 | Professional | TC · Technical part | $213.80 | $281.84 | $309.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | 26 · Professional part | $144.54 | $144.54 | $144.54 |
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 $346.74 Median $346.74 Typical High $446.68 | Professional | None (both parts) | $346.74 | $346.74 | $446.68 |
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 $239.88 Median $239.88 Typical High $309.03 | Professional | TC · Technical part | $239.88 | $239.88 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $338.84 Typical High $588.84 | Facility | None | $83.18 | $338.84 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $354.81 Typical High $691.83 | Professional | None (both parts) | $269.15 | $354.81 | $691.83 |
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 $190.55 Median $245.47 Typical High $501.19 | Professional | TC · Technical part | $190.55 | $245.47 | $501.19 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $165.96 Typical High $181.97 | Professional | 26 · Professional part | $165.96 | $165.96 | $181.97 |
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 $281.84 Median $446.68 Typical High $707.95 | Professional | None (both parts) | $281.84 | $446.68 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $93.33 Typical High $165.96 | Professional | 26 · Professional part | $79.43 | $93.33 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $346.74 Typical High $588.84 | Professional | TC · Technical part | $204.17 | $346.74 | $588.84 |
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 $158.49 Median $208.93 Typical High $208.93 | Professional | 52 · Reduced service | $158.49 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $83.18 Typical High $83.18 | Professional | 53 · Discontinued | $63.10 | $83.18 | $83.18 |
Where Arkansas sits
The same service costs 5.8 times more in Alaska 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· 30th of 51
$398
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.