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 $138.04 Median $158.49 Typical High $158.49 | Facility | None | $138.04 | $158.49 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $128.82 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $30.90 Typical High $30.90 | Professional | 26 · Professional part | $20.42 | $30.90 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $128.82 Typical High $128.82 | Professional | TC · Technical part | $107.15 | $128.82 | $128.82 |
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 $165.96 Median $165.96 Typical High $213.80 | Professional | None (both parts) | $165.96 | $165.96 | $213.80 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $39.81 | Professional | 26 · Professional part | $30.90 | $30.90 | $39.81 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $173.78 | Professional | TC · Technical part | $134.90 | $134.90 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $223.87 Typical High $302.00 | Facility | None | $158.49 | $223.87 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $134.90 Typical High $269.15 | Professional | None (both parts) | $117.49 | $134.90 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $26.30 Typical High $46.77 | Professional | 26 · Professional part | $19.95 | $26.30 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $109.65 Typical High $223.87 | Professional | TC · Technical part | $91.20 | $109.65 | $223.87 |
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 $117.49 Median $154.88 Typical High $275.42 | Professional | None (both parts) | $117.49 | $154.88 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $25.70 Typical High $45.71 | Professional | 26 · Professional part | $22.39 | $25.70 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $128.82 Typical High $223.87 | Professional | TC · Technical part | $93.33 | $128.82 | $223.87 |
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 $64.57 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $64.57 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $25.70 | $31.62 | $31.62 |
Where Arkansas sits
The same service costs 3.8 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· 26th of 51
$166
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.