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 $186.21 Median $186.21 Typical High $724.44 | Facility | None | $186.21 | $186.21 | $724.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $120.23 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $87.10 Typical High $87.10 | Professional | 26 · Professional part | $57.54 | $87.10 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $100.00 Typical High $100.00 | Professional | TC · Technical part | $61.66 | $100.00 | $100.00 |
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 $169.82 Median $169.82 Typical High $218.78 | Professional | None (both parts) | $169.82 | $169.82 | $218.78 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $102.33 | Professional | 26 · Professional part | $79.43 | $79.43 | $102.33 |
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 $165.96 Median $2,691.53 Typical High $4,786.30 | Facility | None | $165.96 | $2,691.53 | $4,786.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $177.83 Typical High $812.83 | Professional | None (both parts) | $125.89 | $177.83 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $74.13 Typical High $131.83 | Professional | 26 · Professional part | $56.23 | $74.13 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $93.33 Typical High $537.03 | Professional | TC · Technical part | $67.61 | $93.33 | $537.03 |
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 $138.04 Median $218.78 Typical High $645.65 | Professional | None (both parts) | $138.04 | $218.78 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $72.44 Typical High $128.82 | Professional | 26 · Professional part | $64.57 | $72.44 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $125.89 Typical High $489.78 | Professional | TC · Technical part | $70.79 | $125.89 | $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 $60.26 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $60.26 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $23.99 | $37.15 | $37.15 |
Where Arkansas sits
The same service costs 4.7 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· 20th of 51
$219
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.