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 $162.18 Median $162.18 Typical High $691.83 | Facility | None | $162.18 | $162.18 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $107.15 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $47.86 | $69.18 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $93.33 Typical High $93.33 | Professional | TC · Technical part | $58.88 | $93.33 | $93.33 |
BCBS Arkansas Setting Facility Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $6,025.60 | Facility | None | $4,365.16 | $4,365.16 | $6,025.60 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $190.55 | Professional | None (both parts) | $147.91 | $147.91 | $190.55 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $83.18 | Professional | 26 · Professional part | $64.57 | $64.57 | $83.18 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $107.15 | Professional | TC · Technical part | $83.18 | $83.18 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $2,691.53 Typical High $7,943.28 | Facility | None | $154.88 | $2,691.53 | $7,943.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $151.36 Typical High $602.56 | Professional | None (both parts) | $109.65 | $151.36 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $58.88 Typical High $104.71 | Professional | 26 · Professional part | $45.71 | $58.88 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $93.33 Typical High $467.74 | Professional | TC · Technical part | $60.26 | $93.33 | $467.74 |
United Setting Facility Modifier None Typical Low $7,413.10 Median $9,120.11 Typical High $16,595.87 | Facility | None | $7,413.10 | $9,120.11 | $16,595.87 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $208.93 Typical High $630.96 | Professional | None (both parts) | $117.49 | $208.93 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $58.88 Typical High $102.33 | Professional | 26 · Professional part | $51.29 | $58.88 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $117.49 Typical High $489.78 | Professional | TC · Technical part | $66.07 | $117.49 | $489.78 |
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 $53.70 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $53.70 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $33.11 Typical High $33.11 | Professional | 53 · Discontinued | $21.38 | $33.11 | $33.11 |
Where Arkansas sits
The same service costs 4.9 times more in Alaska than in Utah. 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· 24th of 51
$186
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.