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 $616.60 Median $870.96 Typical High $1,445.44 | Facility | None | $616.60 | $870.96 | $1,445.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $616.60 Typical High $616.60 | Professional | None (both parts) | $426.58 | $616.60 | $616.60 |
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 $467.74 Typical High $467.74 | Professional | TC · Technical part | $302.00 | $467.74 | $467.74 |
BCBS Arkansas Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $380.19 | Facility | None | $281.84 | $281.84 | $380.19 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $549.54 | Professional | None (both parts) | $426.58 | $426.58 | $549.54 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $104.71 Typical High $134.90 | Professional | 26 · Professional part | $104.71 | $104.71 | $134.90 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $323.59 Typical High $416.87 | Professional | TC · Technical part | $323.59 | $323.59 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $478.63 Typical High $660.69 | Facility | None | $346.74 | $478.63 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $436.52 Typical High $794.33 | Professional | None (both parts) | $309.03 | $436.52 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $87.10 Typical High $158.49 | Professional | 26 · Professional part | $72.44 | $87.10 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $309.03 Typical High $616.60 | Professional | TC · Technical part | $239.88 | $309.03 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $537.03 Typical High $776.25 | Professional | None (both parts) | $338.84 | $537.03 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $97.72 Typical High $165.96 | Professional | 26 · Professional part | $77.62 | $97.72 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $436.52 Typical High $630.96 | Professional | TC · Technical part | $257.04 | $436.52 | $630.96 |
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 $309.03 Typical High $309.03 | Professional | 52 · Reduced service | $239.88 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $123.03 Typical High $123.03 | Professional | 53 · Discontinued | $95.50 | $123.03 | $123.03 |
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· 28th of 51
$513
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.