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 $109.65 Median $109.65 Typical High $257.04 | Facility | None | $109.65 | $109.65 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $109.65 Typical High $138.04 | Professional | None (both parts) | $91.20 | $109.65 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $33.88 | $51.29 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $93.33 | Professional | TC · Technical part | $57.54 | $57.54 | $93.33 |
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 $114.82 Median $114.82 Typical High $147.91 | Professional | None (both parts) | $114.82 | $114.82 | $147.91 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $66.07 | Professional | 26 · Professional part | $51.29 | $51.29 | $66.07 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $83.18 | Professional | TC · Technical part | $64.57 | $64.57 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $660.69 Typical High $1,202.26 | Facility | None | $93.33 | $660.69 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $125.89 Typical High $281.84 | Professional | None (both parts) | $89.13 | $125.89 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $43.65 Typical High $79.43 | Professional | 26 · Professional part | $34.67 | $43.65 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $81.28 Typical High $173.78 | Professional | TC · Technical part | $56.23 | $81.28 | $173.78 |
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 $93.33 Median $141.25 Typical High $257.04 | Professional | None (both parts) | $93.33 | $141.25 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $45.71 Typical High $77.62 | Professional | 26 · Professional part | $38.02 | $45.71 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $93.33 Typical High $199.53 | Professional | TC · Technical part | $54.95 | $93.33 | $199.53 |
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 $47.86 Median $54.95 Typical High $56.23 | Professional | 52 · Reduced service | $47.86 | $54.95 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $21.88 Typical High $22.39 | Professional | 53 · Discontinued | $19.05 | $21.88 | $22.39 |
Where Arkansas sits
The same service costs 4.3 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
$138
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.