How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $35.48 Typical High $35.48 | Professional | None (both parts) | $23.99 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $13.18 Typical High $13.18 | Professional | 26 · Professional part | $9.12 | $13.18 | $13.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $22.39 Typical High $22.39 | Professional | TC · Technical part | $15.49 | $22.39 | $22.39 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.18 Typical High $16.98 | Professional | 26 · Professional part | $13.18 | $13.18 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $30.90 Typical High $53.70 | Professional | None (both parts) | $24.55 | $30.90 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $11.22 Typical High $20.42 | Professional | 26 · Professional part | $8.51 | $11.22 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $19.50 Typical High $33.88 | Professional | TC · Technical part | $15.85 | $19.50 | $33.88 |
United Setting Professional Modifier None (both parts) Typical Low $35.48 Median $54.95 Typical High $89.13 | Professional | None (both parts) | $35.48 | $54.95 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $12.88 Typical High $19.95 | Professional | 26 · Professional part | $9.55 | $12.88 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $40.74 Typical High $69.18 | Professional | TC · Technical part | $25.12 | $40.74 | $69.18 |
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 $12.02 Median $17.78 Typical High $17.78 | Professional | 52 · Reduced service | $12.02 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $7.08 Typical High $7.08 | Professional | 53 · Discontinued | $4.79 | $7.08 | $7.08 |
Where Arkansas sits
The same service costs 4.7 times more in Alaska than in Florida. 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· 39th of 51
$35.48
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.