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 $125.89 Median $125.89 Typical High $141.25 | Facility | None | $125.89 | $125.89 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $125.89 Typical High $131.83 | Professional | None (both parts) | $109.65 | $125.89 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $23.99 | $36.31 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $89.13 Typical High $102.33 | Professional | TC · Technical part | $87.10 | $89.13 | $102.33 |
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 $128.82 Median $128.82 Typical High $165.96 | Professional | None (both parts) | $128.82 | $128.82 | $165.96 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $43.65 | Professional | 26 · Professional part | $33.88 | $33.88 | $43.65 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $123.03 | Professional | TC · Technical part | $95.50 | $95.50 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $363.08 Typical High $616.60 | Facility | None | $125.89 | $363.08 | $616.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $117.49 Typical High $229.09 | Professional | None (both parts) | $93.33 | $117.49 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.20 Typical High $54.95 | Professional | 26 · Professional part | $23.99 | $30.20 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $85.11 Typical High $169.82 | Professional | TC · Technical part | $70.79 | $85.11 | $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 $97.72 Median $128.82 Typical High $234.42 | Professional | None (both parts) | $97.72 | $128.82 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $31.62 Typical High $53.70 | Professional | 26 · Professional part | $26.30 | $31.62 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $100.00 Typical High $181.97 | Professional | TC · Technical part | $70.79 | $100.00 | $181.97 |
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 $56.23 Median $63.10 Typical High $64.57 | Professional | 52 · Reduced service | $56.23 | $63.10 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $25.12 Typical High $25.70 | Professional | 53 · Discontinued | $22.39 | $25.12 | $25.70 |
Where Arkansas sits
The same service costs 3.9 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· 35th of 51
$129
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.