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 $97.72 Median $562.34 Typical High $562.34 | Facility | None | $97.72 | $562.34 | $562.34 |
Aetna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $562.34 Typical High $562.34 | Professional | None (both parts) | $380.19 | $562.34 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $29.51 Typical High $29.51 | Professional | 26 · Professional part | $19.95 | $29.51 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $549.54 Typical High $549.54 | Professional | TC · Technical part | $371.54 | $549.54 | $549.54 |
BCBS Arkansas Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $630.96 | Facility | None | $457.09 | $457.09 | $630.96 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $35.48 | Professional | 26 · Professional part | $27.54 | $27.54 | $35.48 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $309.03 Typical High $812.83 | Facility | None | $66.07 | $309.03 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $63.10 Typical High $109.65 | Professional | None (both parts) | $47.86 | $63.10 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $25.12 Typical High $44.67 | Professional | 26 · Professional part | $19.05 | $25.12 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $36.31 Typical High $72.44 | Professional | TC · Technical part | $28.18 | $36.31 | $72.44 |
United Setting Facility Modifier None Typical Low $724.44 Median $891.25 Typical High $1,621.81 | Facility | None | $724.44 | $891.25 | $1,621.81 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $436.52 Typical High $912.01 | Professional | None (both parts) | $70.79 | $436.52 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $24.55 Typical High $43.65 | Professional | 26 · Professional part | $21.88 | $24.55 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $416.87 Typical High $870.96 | Professional | TC · Technical part | $47.86 | $416.87 | $870.96 |
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 $190.55 Median $275.42 Typical High $275.42 | Professional | 52 · Reduced service | $190.55 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $112.20 Typical High $112.20 | Professional | 53 · Discontinued | $75.86 | $112.20 | $112.20 |
Where Arkansas sits
The same service costs 11.2 times more in Colorado than in Michigan. 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· 16th of 51
$407
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.