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 $173.78 Median $1,148.15 Typical High $1,148.15 | Facility | None | $173.78 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $1,148.15 Typical High $2,238.72 | Professional | None (both parts) | $263.03 | $1,148.15 | $2,238.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $109.65 Typical High $123.03 | Professional | 26 · Professional part | $74.13 | $109.65 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $1,122.02 Typical High $2,238.72 | Professional | TC · Technical part | $194.98 | $1,122.02 | $2,238.72 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 26 · Professional part | $109.65 | $109.65 | $109.65 |
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 $109.65 Median $109.65 Typical High $141.25 | Professional | 26 · Professional part | $109.65 | $109.65 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $102.33 Typical High $4,786.30 | Facility | None | $57.54 | $102.33 | $4,786.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $134.90 Typical High $245.47 | Professional | None (both parts) | $107.15 | $134.90 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $87.10 Typical High $169.82 | Professional | 26 · Professional part | $74.13 | $87.10 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $40.74 Typical High $79.43 | Professional | TC · Technical part | $36.31 | $40.74 | $79.43 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $125.89 | $125.89 | $125.89 |
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 $125.89 Median $1,445.44 Typical High $4,570.88 | Professional | None (both parts) | $125.89 | $1,445.44 | $4,570.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $100.00 Typical High $169.82 | Professional | 26 · Professional part | $81.28 | $100.00 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $1,412.54 Typical High $4,365.16 | Professional | TC · Technical part | $39.81 | $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 $575.44 Median $575.44 Typical High $1,122.02 | Professional | 52 · Reduced service | $575.44 | $575.44 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $229.09 Median $229.09 Typical High $446.68 | Professional | 53 · Discontinued | $229.09 | $229.09 | $446.68 |
Where Arkansas sits
The same service costs 26.3 times more in Colorado than in New Mexico. 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· 11th 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.