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 $104.71 Median $104.71 Typical High $199.53 | Facility | None | $104.71 | $104.71 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $69.18 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $25.12 | $38.90 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $64.57 Typical High $64.57 | Professional | TC · Technical part | $45.71 | $64.57 | $64.57 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $50.12 | Professional | 26 · Professional part | $38.90 | $38.90 | $50.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $89.13 Typical High $177.83 | Professional | None (both parts) | $72.44 | $89.13 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $33.11 Typical High $58.88 | Professional | 26 · Professional part | $25.12 | $33.11 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $54.95 Typical High $123.03 | Professional | TC · Technical part | $45.71 | $54.95 | $123.03 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $194.98 Typical High $338.84 | Professional | None (both parts) | $144.54 | $194.98 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $32.36 Typical High $57.54 | Professional | 26 · Professional part | $28.18 | $32.36 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $162.18 Typical High $281.84 | Professional | TC · Technical part | $114.82 | $162.18 | $281.84 |
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 $36.31 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $36.31 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $14.45 | $20.89 | $20.89 |
Where Arkansas sits
The same service costs 4.4 times more in Alaska than in Texas. 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· 34th of 51
$123
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.