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 $97.72 Median $147.91 Typical High $147.91 | Facility | None | $97.72 | $147.91 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $91.20 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $30.20 | $44.67 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $104.71 Typical High $104.71 | Professional | TC · Technical part | $63.10 | $104.71 | $104.71 |
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 $134.90 Median $134.90 Typical High $169.82 | Professional | None (both parts) | $134.90 | $134.90 | $169.82 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $52.48 | Professional | 26 · Professional part | $41.69 | $41.69 | $52.48 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $117.49 | Professional | TC · Technical part | $93.33 | $93.33 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $812.83 Typical High $3,162.28 | Facility | None | $100.00 | $812.83 | $3,162.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $134.90 Typical High $213.80 | Professional | None (both parts) | $85.11 | $134.90 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $37.15 Typical High $67.61 | Professional | 26 · Professional part | $28.84 | $37.15 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $95.50 Typical High $151.36 | Professional | TC · Technical part | $52.48 | $95.50 | $151.36 |
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 $95.50 Median $120.23 Typical High $213.80 | Professional | None (both parts) | $95.50 | $120.23 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $37.15 Typical High $66.07 | Professional | 26 · Professional part | $32.36 | $37.15 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $85.11 Typical High $147.91 | Professional | TC · Technical part | $56.23 | $85.11 | $147.91 |
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 $45.71 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $45.71 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $18.62 | $29.51 | $29.51 |
Where Arkansas sits
The same service costs 4.6 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· 21st of 51
$148
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.