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 $263.03 Median $263.03 Typical High $309.03 | Facility | None | $263.03 | $263.03 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $263.03 Typical High $275.42 | Professional | None (both parts) | $194.98 | $263.03 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $158.49 Typical High $158.49 | Professional | 26 · Professional part | $102.33 | $158.49 | $158.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $104.71 Typical High $112.20 | Professional | TC · Technical part | $93.33 | $104.71 | $112.20 |
BCBS Arkansas Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $70.79 | Facility | None | $51.29 | $51.29 | $70.79 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $190.55 Median $213.80 Typical High $288.40 | Professional | None (both parts) | $190.55 | $213.80 | $288.40 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $169.82 | Professional | 26 · Professional part | $128.82 | $128.82 | $169.82 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $114.82 | Professional | TC · Technical part | $87.10 | $87.10 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $131.83 Typical High $223.87 | Facility | None | $70.79 | $131.83 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $151.36 Typical High $380.19 | Professional | None (both parts) | $125.89 | $151.36 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $77.62 Typical High $223.87 | Professional | 26 · Professional part | $67.61 | $77.62 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $75.86 Typical High $162.18 | Professional | TC · Technical part | $56.23 | $75.86 | $162.18 |
United Setting Facility Modifier None Typical Low $69.18 Median $85.11 Typical High $154.88 | Facility | None | $69.18 | $85.11 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $173.78 Typical High $338.84 | Professional | None (both parts) | $128.82 | $173.78 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $95.50 Typical High $239.88 | Professional | 26 · Professional part | $72.44 | $95.50 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $83.18 Typical High $128.82 | Professional | TC · Technical part | $54.95 | $83.18 | $128.82 |
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 $97.72 Median $131.83 Typical High $134.90 | Professional | 52 · Reduced service | $97.72 | $131.83 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $52.48 Typical High $53.70 | Professional | 53 · Discontinued | $38.90 | $52.48 | $53.70 |
Where Arkansas sits
The same service costs 6.5 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· 40th of 51
$209
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.