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 $89.13 Median $125.89 Typical High $190.55 | Facility | None | $89.13 | $125.89 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $125.89 Typical High $162.18 | Professional | None (both parts) | $109.65 | $125.89 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $23.99 | $35.48 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $89.13 Typical High $125.89 | Professional | TC · Technical part | $83.18 | $89.13 | $125.89 |
BCBS Arkansas Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $501.19 | Facility | None | $363.08 | $363.08 | $501.19 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $177.83 | Professional | None (both parts) | $138.04 | $138.04 | $177.83 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $45.71 | Professional | 26 · Professional part | $35.48 | $35.48 | $45.71 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $131.83 | Professional | TC · Technical part | $102.33 | $102.33 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $302.00 Typical High $616.60 | Facility | None | $131.83 | $302.00 | $616.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $109.65 Typical High $223.87 | Professional | None (both parts) | $91.20 | $109.65 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.20 Typical High $54.95 | Professional | 26 · Professional part | $23.44 | $30.20 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $87.10 Typical High $169.82 | Professional | TC · Technical part | $67.61 | $87.10 | $169.82 |
United Setting Facility Modifier None Typical Low $457.09 Median $575.44 Typical High $1,047.13 | Facility | None | $457.09 | $575.44 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $128.82 Typical High $229.09 | Professional | None (both parts) | $93.33 | $128.82 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.20 Typical High $52.48 | Professional | 26 · Professional part | $25.70 | $30.20 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $97.72 Typical High $177.83 | Professional | TC · Technical part | $67.61 | $97.72 | $177.83 |
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 $54.95 Median $63.10 Typical High $66.07 | Professional | 52 · Reduced service | $54.95 | $63.10 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $25.12 Typical High $26.30 | Professional | 53 · Discontinued | $21.88 | $25.12 | $26.30 |
Where Arkansas sits
The same service costs 4.2 times more in Alaska than in New York. 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
$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.