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 $354.81 Median $1,122.02 Typical High $1,122.02 | Facility | None | $354.81 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,122.02 Typical High $2,238.72 | Professional | None (both parts) | $1,122.02 | $1,122.02 | $2,238.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $50.12 Typical High $50.12 | Professional | 26 · Professional part | $34.67 | $50.12 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,122.02 Median $1,122.02 Typical High $2,238.72 | Professional | TC · Technical part | $1,122.02 | $1,122.02 | $2,238.72 |
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 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $61.66 | Professional | 26 · Professional part | $47.86 | $47.86 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $537.03 Typical High $4,786.30 | Facility | None | $316.23 | $537.03 | $4,786.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $269.15 Typical High $467.74 | Professional | None (both parts) | $204.17 | $269.15 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $43.65 Typical High $77.62 | Professional | 26 · Professional part | $33.88 | $43.65 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $223.87 Typical High $389.05 | Professional | TC · Technical part | $186.21 | $223.87 | $389.05 |
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 $257.04 Median $1,380.38 Typical High $4,466.84 | Professional | None (both parts) | $257.04 | $1,380.38 | $4,466.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $42.66 Typical High $75.86 | Professional | 26 · Professional part | $37.15 | $42.66 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $1,412.54 Typical High $4,365.16 | Professional | TC · Technical part | $218.78 | $1,412.54 | $4,365.16 |
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 $562.34 Median $562.34 Typical High $1,122.02 | Professional | 52 · Reduced service | $562.34 | $562.34 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $223.87 Typical High $446.68 | Professional | 53 · Discontinued | $223.87 | $223.87 | $446.68 |
Where Arkansas sits
The same service costs 15.1 times more in Colorado 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· 18th of 51
$1,122
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.