How much rates vary
Facilitymedian $513 · 10th to 90th $468 to $708Professionalmedian $631 · 10th to 90th $468 to $933
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 $549.54 Median $549.54 Typical High $588.84 | Facility | None | $549.54 | $549.54 | $588.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $549.54 Typical High $549.54 | Professional | None (both parts) | $537.03 | $549.54 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $323.59 Typical High $323.59 | Professional | 26 · Professional part | $302.00 | $323.59 | $323.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | TC · Technical part | $223.87 | $223.87 | $223.87 |
BCBS Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $707.95 | Facility | None | $512.86 | $512.86 | $707.95 |
BCBS Setting Professional Modifier None (both parts) Typical Low $549.54 Median $630.96 Typical High $812.83 | Professional | None (both parts) | $549.54 | $630.96 | $812.83 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $380.19 Typical High $489.78 | Professional | 26 · Professional part | $331.13 | $380.19 | $489.78 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $257.04 Typical High $331.13 | Professional | TC · Technical part | $223.87 | $257.04 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $407.38 Typical High $575.44 | Facility | None | $316.23 | $407.38 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $602.56 Typical High $1,071.52 | Professional | None (both parts) | $407.38 | $602.56 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $363.08 Typical High $602.56 | Professional | 26 · Professional part | $234.42 | $363.08 | $602.56 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $239.88 Typical High $426.58 | Professional | TC · Technical part | $181.97 | $239.88 | $426.58 |
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 $446.68 Median $562.34 Typical High $977.24 | Professional | None (both parts) | $446.68 | $562.34 | $977.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $338.84 Typical High $588.84 | Professional | 26 · Professional part | $269.15 | $338.84 | $588.84 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $229.09 Typical High $436.52 | Professional | TC · Technical part | $169.82 | $229.09 | $436.52 |
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 $269.15 Median $275.42 Typical High $275.42 | Professional | 52 · Reduced service | $269.15 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 53 · Discontinued | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $380.19 Median $389.05 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $380.19 | $389.05 | $389.05 |
Where Arkansas sits
The same service costs 5.6 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· 35th of 51
$603
AK $2,239TX $398
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.