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 $165.96 Median $165.96 Typical High $275.42 | Facility | None | $165.96 | $165.96 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $134.90 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $81.28 | $107.15 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $58.88 Typical High $58.88 | Professional | TC · Technical part | $53.70 | $58.88 | $58.88 |
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 $131.83 Median $151.36 Typical High $194.98 | Professional | None (both parts) | $131.83 | $151.36 | $194.98 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $97.72 Typical High $125.89 | Professional | 26 · Professional part | $85.11 | $97.72 | $125.89 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $53.70 Typical High $69.18 | Professional | TC · Technical part | $46.77 | $53.70 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $269.15 Typical High $524.81 | Facility | None | $97.72 | $269.15 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $165.96 Typical High $269.15 | Professional | None (both parts) | $120.23 | $165.96 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $107.15 Typical High $165.96 | Professional | 26 · Professional part | $79.43 | $107.15 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $58.88 Typical High $100.00 | Professional | TC · Technical part | $40.74 | $58.88 | $100.00 |
United Setting Facility Modifier None Typical Low $309.03 Median $380.19 Typical High $691.83 | Facility | None | $309.03 | $380.19 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $199.53 Typical High $288.40 | Professional | None (both parts) | $128.82 | $199.53 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $100.00 Typical High $177.83 | Professional | 26 · Professional part | $75.86 | $100.00 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $75.86 Typical High $112.20 | Professional | TC · Technical part | $46.77 | $75.86 | $112.20 |
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 $67.61 Median $83.18 Typical High $83.18 | Professional | 52 · Reduced service | $67.61 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $33.11 Typical High $33.11 | Professional | 53 · Discontinued | $27.54 | $33.11 | $33.11 |
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· 23rd of 51
$195
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.