How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $512.86 Median $512.86 Typical High $630.96 | Facility | None | $512.86 | $512.86 | $630.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $512.86 Typical High $512.86 | Professional | None (both parts) | $331.13 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $50.12 Typical High $50.12 | Professional | 26 · Professional part | $32.36 | $50.12 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $457.09 Typical High $457.09 | Professional | TC · Technical part | $302.00 | $457.09 | $457.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $69.18 | Professional | 26 · Professional part | $64.57 | $64.57 | $69.18 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $64.57 | Professional | 26 · Professional part | $50.12 | $50.12 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $436.52 Typical High $776.25 | Professional | None (both parts) | $245.47 | $436.52 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $47.86 Typical High $77.62 | Professional | 26 · Professional part | $33.11 | $47.86 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $398.11 Typical High $691.83 | Professional | TC · Technical part | $309.03 | $398.11 | $691.83 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $79.43 | Professional | 26 · Professional part | $74.13 | $74.13 | $79.43 |
United Setting Professional Modifier None (both parts) Typical Low $436.52 Median $524.81 Typical High $831.76 | Professional | None (both parts) | $436.52 | $524.81 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $42.66 Typical High $74.13 | Professional | 26 · Professional part | $36.31 | $42.66 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $478.63 Typical High $758.58 | Professional | TC · Technical part | $389.05 | $478.63 | $758.58 |
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 $165.96 Median $251.19 Typical High $251.19 | Professional | 52 · Reduced service | $165.96 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $102.33 Typical High $102.33 | Professional | 53 · Discontinued | $66.07 | $102.33 | $102.33 |
Where Arkansas sits
The same service costs 16.6 times more in Wisconsin than in Oregon. 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· 29th of 51
$513
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.