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 $67.61 Median $97.72 Typical High $97.72 | Facility | None | $67.61 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $97.72 Typical High $100.00 | Professional | None (both parts) | $75.86 | $97.72 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $28.84 Typical High $28.84 | Professional | 26 · Professional part | $16.98 | $28.84 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $69.18 Typical High $75.86 | Professional | TC · Technical part | $58.88 | $69.18 | $75.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 26 · Professional part | $18.20 | $18.20 | $18.20 |
BCBS Arkansas Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $91.20 | Facility | None | $66.07 | $66.07 | $91.20 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $75.86 Median $85.11 Typical High $112.20 | Professional | None (both parts) | $75.86 | $85.11 | $112.20 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $30.20 | Professional | 26 · Professional part | $22.91 | $22.91 | $30.20 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $83.18 | Professional | TC · Technical part | $63.10 | $63.10 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $57.54 Typical High $147.91 | Facility | None | $40.74 | $57.54 | $147.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $41.69 Typical High $151.36 | Professional | None (both parts) | $39.81 | $41.69 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.18 Typical High $38.90 | Professional | 26 · Professional part | $10.96 | $13.18 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $109.65 | Professional | TC · Technical part | $28.84 | $28.84 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $39.81 Median $58.88 Typical High $144.54 | Professional | None (both parts) | $39.81 | $58.88 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $16.60 Typical High $39.81 | Professional | 26 · Professional part | $13.18 | $16.60 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $45.71 Typical High $104.71 | Professional | TC · Technical part | $35.48 | $45.71 | $104.71 |
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 $38.02 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $38.02 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $19.50 Typical High $19.50 | Professional | 53 · Discontinued | $15.14 | $19.50 | $19.50 |
Where Arkansas sits
The same service costs 4.0 times more in Alaska than in Alabama. 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· 32nd of 51
$85.11
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.