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 $234.42 Median $234.42 Typical High $398.11 | Facility | None | $234.42 | $234.42 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $234.42 Typical High $309.03 | Professional | None (both parts) | $199.53 | $234.42 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $56.23 Typical High $75.86 | Professional | 26 · Professional part | $47.86 | $56.23 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $181.97 Typical High $234.42 | Professional | TC · Technical part | $154.88 | $181.97 | $234.42 |
BCBS Arkansas Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $380.19 | Facility | None | $263.03 | $263.03 | $380.19 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $257.04 | Professional | None (both parts) | $194.98 | $194.98 | $257.04 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $63.10 | Professional | 26 · Professional part | $47.86 | $47.86 | $63.10 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $194.98 | Professional | TC · Technical part | $147.91 | $147.91 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $223.87 Typical High $354.81 | Professional | None (both parts) | $169.82 | $223.87 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $61.66 Typical High $95.50 | Professional | 26 · Professional part | $47.86 | $61.66 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $165.96 Typical High $275.42 | Professional | TC · Technical part | $123.03 | $165.96 | $275.42 |
United Setting Facility Modifier None Typical Low $281.84 Median $354.81 Typical High $645.65 | Facility | None | $281.84 | $354.81 | $645.65 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $213.80 Typical High $363.08 | Professional | None (both parts) | $165.96 | $213.80 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $53.70 Typical High $89.13 | Professional | 26 · Professional part | $41.69 | $53.70 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $169.82 Typical High $281.84 | Professional | TC · Technical part | $125.89 | $169.82 | $281.84 |
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 $100.00 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $100.00 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $40.74 | $47.86 | $47.86 |
Where Arkansas sits
The same service costs 3.0 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· 34th of 51
$234
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.