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 $204.17 Median $204.17 Typical High $691.83 | Facility | None | $204.17 | $204.17 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $131.83 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $47.86 | $72.44 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $131.83 Typical High $131.83 | Professional | TC · Technical part | $83.18 | $131.83 | $131.83 |
BCBS Arkansas Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $2,137.96 | Facility | None | $1,548.82 | $1,548.82 | $2,137.96 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $234.42 | Professional | None (both parts) | $186.21 | $186.21 | $234.42 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $87.10 | Professional | 26 · Professional part | $67.61 | $67.61 | $87.10 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $151.36 | Professional | TC · Technical part | $117.49 | $117.49 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $2,691.53 Typical High $4,786.30 | Facility | None | $213.80 | $2,691.53 | $4,786.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $177.83 Typical High $630.96 | Professional | None (both parts) | $134.90 | $177.83 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $60.26 Typical High $109.65 | Professional | 26 · Professional part | $46.77 | $60.26 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $120.23 Typical High $489.78 | Professional | TC · Technical part | $89.13 | $120.23 | $489.78 |
United Setting Facility Modifier None Typical Low $4,168.69 Median $5,128.61 Typical High $9,332.54 | Facility | None | $4,168.69 | $5,128.61 | $9,332.54 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $234.42 Typical High $630.96 | Professional | None (both parts) | $147.91 | $234.42 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $60.26 Typical High $107.15 | Professional | 26 · Professional part | $51.29 | $60.26 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $162.18 Typical High $489.78 | Professional | TC · Technical part | $93.33 | $162.18 | $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 $66.07 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $66.07 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $26.30 | $40.74 | $40.74 |
Where Arkansas sits
The same service costs 4.4 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
$229
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.