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 $371.54 Median $537.03 Typical High $1,000.00 | Facility | None | $371.54 | $537.03 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $263.03 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $60.26 | $89.13 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $288.40 Typical High $295.12 | Professional | TC · Technical part | $199.53 | $288.40 | $295.12 |
BCBS Arkansas Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $239.88 | Facility | None | $173.78 | $173.78 | $239.88 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $389.05 | Professional | None (both parts) | $302.00 | $302.00 | $389.05 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $93.33 | Professional | 26 · Professional part | $72.44 | $72.44 | $93.33 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $295.12 | Professional | TC · Technical part | $229.09 | $229.09 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $338.84 Typical High $457.09 | Facility | None | $83.18 | $338.84 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $309.03 Typical High $537.03 | Professional | None (both parts) | $218.78 | $309.03 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $58.88 Typical High $109.65 | Professional | 26 · Professional part | $48.98 | $58.88 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $223.87 Typical High $426.58 | Professional | TC · Technical part | $169.82 | $223.87 | $426.58 |
United Setting Facility Modifier None Typical Low $229.09 Median $288.40 Typical High $524.81 | Facility | None | $229.09 | $288.40 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $371.54 Typical High $524.81 | Professional | None (both parts) | $245.47 | $371.54 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $114.82 | Professional | 26 · Professional part | $53.70 | $64.57 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $309.03 Typical High $426.58 | Professional | TC · Technical part | $190.55 | $309.03 | $426.58 |
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 $144.54 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $144.54 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $74.13 Typical High $74.13 | Professional | 53 · Discontinued | $57.54 | $74.13 | $74.13 |
Where Arkansas sits
The same service costs 5.0 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· 28th of 51
$347
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.