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 $102.33 Median $102.33 Typical High $134.90 | Facility | None | $102.33 | $102.33 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $89.13 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $47.86 | $56.23 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $45.71 Typical High $45.71 | Professional | TC · Technical part | $40.74 | $45.71 | $45.71 |
BCBS Arkansas Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $77.62 | Facility | None | $54.95 | $54.95 | $77.62 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $93.33 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $93.33 | $125.89 | $125.89 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $52.48 | $69.18 | $69.18 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $54.95 Typical High $54.95 | Professional | TC · Technical part | $41.69 | $54.95 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $117.49 | Professional | None (both parts) | $70.79 | $70.79 | $117.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $60.26 | Professional | 26 · Professional part | $40.74 | $40.74 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $52.48 | Professional | TC · Technical part | $30.20 | $30.20 | $52.48 |
United Setting Facility Modifier None Typical Low $77.62 Median $95.50 Typical High $173.78 | Facility | None | $77.62 | $95.50 | $173.78 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $74.13 Typical High $109.65 | Professional | None (both parts) | $57.54 | $74.13 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $40.74 Typical High $56.23 | Professional | 26 · Professional part | $30.90 | $40.74 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $33.11 Typical High $48.98 | Professional | TC · Technical part | $26.30 | $33.11 | $48.98 |
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 $44.67 Median $51.29 Typical High $51.29 | Professional | 52 · Reduced service | $44.67 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $20.42 Typical High $20.42 | Professional | 53 · Discontinued | $17.78 | $20.42 | $20.42 |
Where Arkansas sits
The same service costs 3.7 times more in Alaska than in New Jersey. 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· 20th of 51
$93.33
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.