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 $389.05 Median $416.87 Typical High $416.87 | Facility | None | $389.05 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $416.87 Typical High $416.87 | Professional | None (both parts) | $398.11 | $416.87 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $218.78 Typical High $218.78 | Professional | 26 · Professional part | $204.17 | $218.78 | $218.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | TC · Technical part | $194.98 | $194.98 | $194.98 |
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 $389.05 Median $446.68 Typical High $575.44 | Professional | None (both parts) | $389.05 | $446.68 | $575.44 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $239.88 Typical High $302.00 | Professional | 26 · Professional part | $208.93 | $239.88 | $302.00 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $213.80 Typical High $269.15 | Professional | TC · Technical part | $186.21 | $213.80 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $354.81 Typical High $575.44 | Facility | None | $288.40 | $354.81 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $457.09 Typical High $794.33 | Professional | None (both parts) | $309.03 | $457.09 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $245.47 Typical High $398.11 | Professional | 26 · Professional part | $154.88 | $245.47 | $398.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $213.80 Typical High $363.08 | Professional | TC · Technical part | $151.36 | $213.80 | $363.08 |
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 $323.59 Median $416.87 Typical High $741.31 | Professional | None (both parts) | $323.59 | $416.87 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $229.09 Typical High $398.11 | Professional | 26 · Professional part | $181.97 | $229.09 | $398.11 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $194.98 Typical High $380.19 | Professional | TC · Technical part | $134.90 | $194.98 | $380.19 |
3 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 $199.53 Median $204.17 Typical High $204.17 | Professional | 52 · Reduced service | $199.53 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $83.18 Typical High $83.18 | Professional | 53 · Discontinued | $79.43 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $288.40 Typical High $288.40 | Professional | 78 · Unplanned return to OR | $281.84 | $288.40 | $288.40 |
Where Arkansas sits
The same service costs 5.6 times more in Alaska than in Florida. 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· 23rd of 51
$513
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.