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 $323.59 Median $707.95 Typical High $707.95 | Facility | None | $323.59 | $707.95 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $707.95 Typical High $707.95 | Professional | None (both parts) | $426.58 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $37.15 | $54.95 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $691.83 Typical High $691.83 | Professional | TC · Technical part | $416.87 | $691.83 | $691.83 |
BCBS Arkansas Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $831.76 | Facility | None | $602.56 | $602.56 | $831.76 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $66.07 | Professional | 26 · Professional part | $51.29 | $51.29 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $416.87 Typical High $912.01 | Facility | None | $223.87 | $416.87 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $251.19 Typical High $446.68 | Professional | None (both parts) | $194.98 | $251.19 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $44.67 Typical High $81.28 | Professional | 26 · Professional part | $36.31 | $44.67 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $208.93 Typical High $363.08 | Professional | TC · Technical part | $173.78 | $208.93 | $363.08 |
United Setting Facility Modifier None Typical Low $831.76 Median $1,023.29 Typical High $1,862.09 | Facility | None | $831.76 | $1,023.29 | $1,862.09 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $588.84 Typical High $1,096.48 | Professional | None (both parts) | $234.42 | $588.84 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $47.86 Typical High $79.43 | Professional | 26 · Professional part | $39.81 | $47.86 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $549.54 Typical High $1,023.29 | Professional | TC · Technical part | $194.98 | $549.54 | $1,023.29 |
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 $213.80 Median $354.81 Typical High $354.81 | Professional | 52 · Reduced service | $213.80 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $87.10 | $141.25 | $141.25 |
Where Arkansas sits
The same service costs 4.8 times more in Alaska than in New Jersey. 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· 19th of 51
$537
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.