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 $776.25 Typical High $776.25 | Facility | None | $263.03 | $776.25 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $645.65 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $645.65 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $69.18 | $72.44 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $691.83 Typical High $691.83 | Professional | TC · Technical part | $588.84 | $691.83 | $691.83 |
BCBS Arkansas Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $707.95 | Facility | None | $512.86 | $512.86 | $707.95 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $630.96 Median $724.44 Typical High $933.25 | Professional | None (both parts) | $630.96 | $724.44 | $933.25 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $77.62 Typical High $100.00 | Professional | 26 · Professional part | $67.61 | $77.62 | $100.00 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $645.65 Typical High $831.76 | Professional | TC · Technical part | $562.34 | $645.65 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $512.86 Typical High $1,778.28 | Facility | None | $354.81 | $512.86 | $1,778.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $1,122.02 Typical High $1,412.54 | Professional | None (both parts) | $489.78 | $1,122.02 | $1,412.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $97.72 Typical High $134.90 | Professional | 26 · Professional part | $60.26 | $97.72 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $1,000.00 Typical High $1,258.93 | Professional | TC · Technical part | $436.52 | $1,000.00 | $1,258.93 |
United Setting Facility Modifier None Typical Low $724.44 Median $912.01 Typical High $1,659.59 | Facility | None | $724.44 | $912.01 | $1,659.59 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $691.83 Typical High $1,258.93 | Professional | None (both parts) | $263.03 | $691.83 | $1,258.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $81.28 Typical High $138.04 | Professional | 26 · Professional part | $64.57 | $81.28 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $645.65 Typical High $1,122.02 | Professional | TC · Technical part | $234.42 | $645.65 | $1,122.02 |
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 $323.59 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $323.59 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $128.82 | $154.88 | $154.88 |
Where Arkansas sits
The same service costs 5.1 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· 38th of 51
$724
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.