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 $97.72 Typical High $107.15 | Facility | None | $97.72 | $97.72 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $97.72 Typical High $97.72 | Professional | None (both parts) | $50.12 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $30.90 | $53.70 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $44.67 Typical High $44.67 | Professional | TC · Technical part | $18.62 | $44.67 | $44.67 |
BCBS Arkansas Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $147.91 | Facility | None | $107.15 | $107.15 | $147.91 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $95.50 | Professional | None (both parts) | $74.13 | $74.13 | $95.50 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $52.48 | Professional | 26 · Professional part | $40.74 | $40.74 | $52.48 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.11 Typical High $42.66 | Professional | TC · Technical part | $33.11 | $33.11 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $114.82 Typical High $181.97 | Facility | None | $79.43 | $114.82 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $102.33 Typical High $144.54 | Professional | None (both parts) | $48.98 | $102.33 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $56.23 Typical High $72.44 | Professional | 26 · Professional part | $30.20 | $56.23 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $46.77 Typical High $72.44 | Professional | TC · Technical part | $17.78 | $46.77 | $72.44 |
United Setting Facility Modifier None Typical Low $138.04 Median $169.82 Typical High $309.03 | Facility | None | $138.04 | $169.82 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $97.72 Typical High $158.49 | Professional | None (both parts) | $56.23 | $97.72 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $51.29 Typical High $79.43 | Professional | 26 · Professional part | $33.11 | $51.29 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $38.90 Typical High $75.86 | Professional | TC · Technical part | $22.39 | $38.90 | $75.86 |
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 $23.44 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $23.44 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $9.55 | $19.50 | $19.50 |
Where Arkansas sits
The same service costs 3.8 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· 19th of 51
$95.50
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.