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 $537.03 Typical High $1,000.00 | Facility | None | $165.96 | $537.03 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $165.96 Typical High $275.42 | Professional | None (both parts) | $141.25 | $165.96 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $60.26 | $85.11 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $83.18 Typical High $190.55 | Professional | TC · Technical part | $69.18 | $83.18 | $190.55 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 26 · Professional part | $95.50 | $95.50 | $95.50 |
BCBS Arkansas Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $81.28 | Facility | None | $58.88 | $58.88 | $81.28 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $186.21 | Professional | None (both parts) | $144.54 | $144.54 | $186.21 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $93.33 | Professional | 26 · Professional part | $72.44 | $72.44 | $93.33 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $91.20 | Professional | TC · Technical part | $70.79 | $70.79 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $147.91 Typical High $223.87 | Professional | None (both parts) | $93.33 | $147.91 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $72.44 Typical High $112.20 | Professional | 26 · Professional part | $46.77 | $72.44 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $72.44 Typical High $131.83 | Professional | TC · Technical part | $45.71 | $72.44 | $131.83 |
Qualchoice 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 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $138.04 Typical High $229.09 | Professional | None (both parts) | $107.15 | $138.04 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $60.26 Typical High $107.15 | Professional | 26 · Professional part | $53.70 | $60.26 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $74.13 Typical High $120.23 | Professional | TC · Technical part | $52.48 | $74.13 | $120.23 |
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 $83.18 Median $83.18 Typical High $138.04 | Professional | 52 · Reduced service | $83.18 | $83.18 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $54.95 | Professional | 53 · Discontinued | $33.88 | $33.88 | $54.95 |
Where Arkansas sits
The same service costs 5.6 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· 36th of 51
$132
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.