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 $85.11 Median $85.11 Typical High $102.33 | Facility | None | $85.11 | $85.11 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $66.07 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $26.92 | $43.65 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $41.69 Typical High $50.12 | Professional | TC · Technical part | $38.02 | $41.69 | $50.12 |
BCBS Arkansas Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $54.95 | Facility | None | $40.74 | $40.74 | $54.95 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $117.49 | Professional | None (both parts) | $91.20 | $91.20 | $117.49 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $57.54 | Professional | 26 · Professional part | $44.67 | $44.67 | $57.54 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $60.26 | Professional | TC · Technical part | $46.77 | $46.77 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $67.61 Typical High $138.04 | Professional | None (both parts) | $33.11 | $67.61 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $28.18 Typical High $61.66 | Professional | 26 · Professional part | $20.89 | $28.18 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $38.02 Typical High $74.13 | Professional | TC · Technical part | $12.59 | $38.02 | $74.13 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $77.62 Typical High $131.83 | Professional | None (both parts) | $38.90 | $77.62 | $131.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $32.36 Typical High $60.26 | Professional | 26 · Professional part | $18.62 | $32.36 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $40.74 Typical High $83.18 | Professional | TC · Technical part | $18.62 | $40.74 | $83.18 |
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 $33.11 Median $42.66 Typical High $42.66 | Professional | 52 · Reduced service | $33.11 | $42.66 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $16.98 Typical High $16.98 | Professional | 53 · Discontinued | $13.18 | $16.98 | $16.98 |
Where Arkansas sits
The same service costs 5.9 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· 42nd of 51
$66.07
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.