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 $28.18 Median $33.88 Typical High $112.20 | Facility | None | $28.18 | $33.88 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $77.62 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $56.23 | $85.11 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $28.18 Typical High $28.18 | Professional | TC · Technical part | $21.88 | $28.18 | $28.18 |
BCBS Arkansas Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $32.36 | Facility | None | $23.44 | $23.44 | $32.36 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $131.83 | Professional | None (both parts) | $102.33 | $102.33 | $131.83 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $100.00 | Professional | 26 · Professional part | $77.62 | $77.62 | $100.00 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $25.70 Typical High $33.11 | Professional | TC · Technical part | $25.70 | $25.70 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $117.49 Typical High $204.17 | Professional | None (both parts) | $79.43 | $117.49 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $83.18 Typical High $131.83 | Professional | 26 · Professional part | $57.54 | $83.18 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $28.18 Typical High $63.10 | Professional | TC · Technical part | $20.89 | $28.18 | $63.10 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $138.04 Typical High $338.84 | Professional | None (both parts) | $83.18 | $138.04 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $72.44 Typical High $123.03 | Professional | 26 · Professional part | $63.10 | $72.44 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $38.90 Typical High $138.04 | Professional | TC · Technical part | $20.89 | $38.90 | $138.04 |
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 $38.90 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $38.90 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $15.49 | $22.91 | $22.91 |
Where Arkansas sits
The same service costs 5.2 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· 44th 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.