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 $138.04 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $138.04 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $48.98 | $70.79 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $131.83 Typical High $131.83 | Professional | TC · Technical part | $89.13 | $131.83 | $131.83 |
BCBS Arkansas Setting Facility Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $3,630.78 | Facility | None | $2,630.27 | $2,630.27 | $3,630.78 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $251.19 | Professional | None (both parts) | $199.53 | $199.53 | $251.19 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $89.13 | Professional | 26 · Professional part | $70.79 | $70.79 | $89.13 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $162.18 | Professional | TC · Technical part | $128.82 | $128.82 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $912.01 Typical High $4,786.30 | Facility | None | $208.93 | $912.01 | $4,786.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $186.21 Typical High $630.96 | Professional | None (both parts) | $134.90 | $186.21 | $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 $91.20 Median $120.23 Typical High $489.78 | Professional | TC · Technical part | $91.20 | $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 $239.88 Typical High $630.96 | Professional | None (both parts) | $147.91 | $239.88 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $107.15 | Professional | 26 · Professional part | $52.48 | $61.66 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $165.96 Typical High $489.78 | Professional | TC · Technical part | $95.50 | $165.96 | $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 $69.18 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $69.18 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $27.54 | $40.74 | $40.74 |
Where Arkansas sits
The same service costs 4.0 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· 28th of 51
$234
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.