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 $263.03 Median $436.52 Typical High $436.52 | Facility | None | $263.03 | $436.52 | $436.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $436.52 Typical High $467.74 | Professional | None (both parts) | $371.54 | $436.52 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $69.18 | $75.86 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $363.08 Typical High $398.11 | Professional | TC · Technical part | $302.00 | $363.08 | $398.11 |
BCBS Arkansas Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $309.03 | Facility | None | $229.09 | $229.09 | $309.03 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $416.87 Median $478.63 Typical High $602.56 | Professional | None (both parts) | $416.87 | $478.63 | $602.56 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $81.28 Typical High $102.33 | Professional | 26 · Professional part | $70.79 | $81.28 | $102.33 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $398.11 Typical High $501.19 | Professional | TC · Technical part | $346.74 | $398.11 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $512.86 Typical High $691.83 | Facility | None | $346.74 | $512.86 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $457.09 Typical High $851.14 | Professional | None (both parts) | $302.00 | $457.09 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $100.00 Typical High $138.04 | Professional | 26 · Professional part | $61.66 | $100.00 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $354.81 Typical High $724.44 | Professional | TC · Technical part | $257.04 | $354.81 | $724.44 |
United Setting Facility Modifier None Typical Low $512.86 Median $630.96 Typical High $1,148.15 | Facility | None | $512.86 | $630.96 | $1,148.15 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $416.87 Typical High $933.25 | Professional | None (both parts) | $263.03 | $416.87 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $83.18 Typical High $138.04 | Professional | 26 · Professional part | $66.07 | $83.18 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $380.19 Typical High $812.83 | Professional | TC · Technical part | $229.09 | $380.19 | $812.83 |
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 $218.78 Median $218.78 Typical High $218.78 | Professional | 52 · Reduced service | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 53 · Discontinued | $87.10 | $87.10 | $87.10 |
Where Arkansas sits
The same service costs 6.3 times more in Alaska than in Kentucky. 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
$437
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.