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 $117.49 Median $117.49 Typical High $275.42 | Facility | None | $117.49 | $117.49 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $117.49 Typical High $120.23 | Professional | None (both parts) | $100.00 | $117.49 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $38.90 | $58.88 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $72.44 | Professional | TC · Technical part | $58.88 | $58.88 | $72.44 |
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 $125.89 Median $125.89 Typical High $162.18 | Professional | None (both parts) | $125.89 | $125.89 | $162.18 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $75.86 | Professional | 26 · Professional part | $58.88 | $58.88 | $75.86 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $85.11 | Professional | TC · Technical part | $66.07 | $66.07 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $660.69 Typical High $1,202.26 | Facility | None | $95.50 | $660.69 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $123.03 Typical High $281.84 | Professional | None (both parts) | $89.13 | $123.03 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $48.98 Typical High $91.20 | Professional | 26 · Professional part | $38.02 | $48.98 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $74.13 Typical High $181.97 | Professional | TC · Technical part | $52.48 | $74.13 | $181.97 |
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 $102.33 Median $154.88 Typical High $275.42 | Professional | None (both parts) | $102.33 | $154.88 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $50.12 Typical High $89.13 | Professional | 26 · Professional part | $42.66 | $50.12 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $89.13 Typical High $204.17 | Professional | TC · Technical part | $57.54 | $89.13 | $204.17 |
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 $50.12 Median $58.88 Typical High $60.26 | Professional | 52 · Reduced service | $50.12 | $58.88 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $23.44 Typical High $23.99 | Professional | 53 · Discontinued | $19.95 | $23.44 | $23.99 |
Where Arkansas sits
The same service costs 4.6 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· 29th of 51
$141
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.