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 $117.49 Median $138.04 Typical High $138.04 | Facility | None | $117.49 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $229.09 | Professional | None (both parts) | $138.04 | $138.04 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $38.90 Typical High $38.90 | Professional | 26 · Professional part | $26.30 | $38.90 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $223.87 | Professional | TC · Technical part | $128.82 | $128.82 | $223.87 |
BCBS Arkansas Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $309.03 | Facility | None | $223.87 | $223.87 | $309.03 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $46.77 | Professional | 26 · Professional part | $37.15 | $37.15 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $223.87 Typical High $389.05 | Facility | None | $75.86 | $223.87 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $85.11 Typical High $154.88 | Professional | None (both parts) | $70.79 | $85.11 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $33.11 Typical High $60.26 | Professional | 26 · Professional part | $25.12 | $33.11 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $52.48 Typical High $95.50 | Professional | TC · Technical part | $44.67 | $52.48 | $95.50 |
United Setting Facility Modifier None Typical Low $316.23 Median $389.05 Typical High $707.95 | Facility | None | $316.23 | $389.05 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $229.09 Typical High $457.09 | Professional | None (both parts) | $83.18 | $229.09 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $32.36 Typical High $58.88 | Professional | 26 · Professional part | $28.84 | $32.36 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $204.17 Typical High $407.38 | Professional | TC · Technical part | $52.48 | $204.17 | $407.38 |
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 $69.18 Median $69.18 Typical High $114.82 | Professional | 52 · Reduced service | $69.18 | $69.18 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $45.71 | Professional | 53 · Discontinued | $28.18 | $28.18 | $45.71 |
Where Arkansas sits
The same service costs 5.9 times more in Nebraska than in Hawaii. 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· 38th of 51
$138
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.