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 $870.96 Median $870.96 Typical High $1,047.13 | Facility | None | $870.96 | $870.96 | $1,047.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $870.96 Typical High $1,071.52 | Professional | None (both parts) | $870.96 | $870.96 | $1,071.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $478.63 Median $501.19 Typical High $616.60 | Professional | 26 · Professional part | $478.63 | $501.19 | $616.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $371.54 Typical High $446.68 | Professional | TC · Technical part | $288.40 | $371.54 | $446.68 |
BCBS Arkansas Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $977.24 | Facility | None | $707.95 | $707.95 | $977.24 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,047.13 Typical High $1,348.96 | Professional | None (both parts) | $912.01 | $1,047.13 | $1,348.96 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $512.86 Median $588.84 Typical High $758.58 | Professional | 26 · Professional part | $512.86 | $588.84 | $758.58 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $457.09 Typical High $588.84 | Professional | TC · Technical part | $398.11 | $457.09 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $891.25 Typical High $1,513.56 | Facility | None | $346.74 | $891.25 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $691.83 Median $1,047.13 Typical High $1,621.81 | Professional | None (both parts) | $691.83 | $1,047.13 | $1,621.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $446.68 Median $724.44 Typical High $912.01 | Professional | 26 · Professional part | $446.68 | $724.44 | $912.01 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $331.13 Typical High $707.95 | Professional | TC · Technical part | $251.19 | $331.13 | $707.95 |
United Setting Facility Modifier None Typical Low $912.01 Median $1,148.15 Typical High $2,089.30 | Facility | None | $912.01 | $1,148.15 | $2,089.30 |
United Setting Professional Modifier None (both parts) Typical Low $776.25 Median $912.01 Typical High $1,698.24 | Professional | None (both parts) | $776.25 | $912.01 | $1,698.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $645.65 Typical High $954.99 | Professional | 26 · Professional part | $426.58 | $645.65 | $954.99 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $389.05 Typical High $794.33 | Professional | TC · Technical part | $229.09 | $389.05 | $794.33 |
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 $436.52 Median $436.52 Typical High $436.52 | Professional | 52 · Reduced service | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 53 · Discontinued | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | 78 · Unplanned return to OR | $602.56 | $602.56 | $602.56 |
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· 37th of 51
$977
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.