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 $154.88 Median $154.88 Typical High $389.05 | Facility | None | $154.88 | $154.88 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $154.88 Typical High $169.82 | Professional | None (both parts) | $141.25 | $154.88 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $57.54 | $85.11 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $102.33 | Professional | TC · Technical part | $69.18 | $69.18 | $102.33 |
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 $162.18 Median $162.18 Typical High $208.93 | Professional | None (both parts) | $162.18 | $162.18 | $208.93 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $107.15 | Professional | 26 · Professional part | $85.11 | $85.11 | $107.15 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $97.72 | Professional | TC · Technical part | $75.86 | $75.86 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $660.69 Typical High $1,202.26 | Facility | None | $114.82 | $660.69 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $194.98 Typical High $436.52 | Professional | None (both parts) | $125.89 | $194.98 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $70.79 Typical High $131.83 | Professional | 26 · Professional part | $56.23 | $70.79 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $125.89 Typical High $263.03 | Professional | TC · Technical part | $70.79 | $125.89 | $263.03 |
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 $128.82 Median $213.80 Typical High $398.11 | Professional | None (both parts) | $128.82 | $213.80 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $70.79 Typical High $128.82 | Professional | 26 · Professional part | $60.26 | $70.79 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $120.23 Typical High $281.84 | Professional | TC · Technical part | $64.57 | $120.23 | $281.84 |
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 $70.79 Median $77.62 Typical High $81.28 | Professional | 52 · Reduced service | $70.79 | $77.62 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $30.90 Typical High $33.11 | Professional | 53 · Discontinued | $28.18 | $30.90 | $33.11 |
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
$204
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.