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 $190.55 Median $245.47 Typical High $245.47 | Facility | None | $190.55 | $245.47 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $162.18 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $114.82 Typical High $114.82 | Professional | 26 · Professional part | $75.86 | $114.82 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $131.83 Typical High $131.83 | Professional | TC · Technical part | $70.79 | $131.83 | $131.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $151.36 Median $186.21 Typical High $346.74 | Professional | None (both parts) | $151.36 | $186.21 | $346.74 |
BCBS Arkansas Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $141.25 | Facility | None | $104.71 | $104.71 | $141.25 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $288.40 | Professional | None (both parts) | $223.87 | $223.87 | $288.40 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $138.04 | Professional | 26 · Professional part | $107.15 | $107.15 | $138.04 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $151.36 | Professional | TC · Technical part | $117.49 | $117.49 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $83.18 Typical High $190.55 | Facility | None | $57.54 | $83.18 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $208.93 Typical High $363.08 | Professional | None (both parts) | $154.88 | $208.93 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $95.50 Typical High $173.78 | Professional | 26 · Professional part | $72.44 | $95.50 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $114.82 Typical High $190.55 | Professional | TC · Technical part | $67.61 | $114.82 | $190.55 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $398.11 | $398.11 | $398.11 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $204.17 Typical High $363.08 | Professional | None (both parts) | $173.78 | $204.17 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $97.72 Typical High $165.96 | Professional | 26 · Professional part | $81.28 | $97.72 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $112.20 Typical High $194.98 | Professional | TC · Technical part | $81.28 | $112.20 | $194.98 |
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 $81.28 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $81.28 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $32.36 | $48.98 | $48.98 |
Where Arkansas sits
The same service costs 5.8 times more in Alaska than in Utah. 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
$224
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.