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 $165.96 Median $165.96 Typical High $691.83 | Facility | None | $165.96 | $165.96 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $165.96 Typical High $190.55 | Professional | None (both parts) | $104.71 | $165.96 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $44.67 | $69.18 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $95.50 Typical High $141.25 | Professional | TC · Technical part | $57.54 | $95.50 | $141.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $43.65 | $43.65 | $43.65 |
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 None (both parts) Typical Low $158.49 Median $158.49 Typical High $204.17 | Professional | None (both parts) | $158.49 | $158.49 | $204.17 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $89.13 | Professional | 26 · Professional part | $69.18 | $69.18 | $89.13 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $114.82 | Professional | TC · Technical part | $89.13 | $89.13 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $776.25 Typical High $2,344.23 | Facility | None | $151.36 | $776.25 | $2,344.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $147.91 Typical High $602.56 | Professional | None (both parts) | $109.65 | $147.91 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $57.54 Typical High $107.15 | Professional | 26 · Professional part | $45.71 | $57.54 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $89.13 Typical High $467.74 | Professional | TC · Technical part | $58.88 | $89.13 | $467.74 |
United Setting Facility Modifier None Typical Low $2,089.30 Median $2,570.40 Typical High $4,677.35 | Facility | None | $2,089.30 | $2,570.40 | $4,677.35 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $204.17 Typical High $630.96 | Professional | None (both parts) | $117.49 | $204.17 | $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 $52.48 Median $83.18 Typical High $83.18 | Professional | 52 · Reduced service | $52.48 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $33.11 Typical High $33.11 | Professional | 53 · Discontinued | $20.89 | $33.11 | $33.11 |
Where Arkansas sits
The same service costs 4.8 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· 27th 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.