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 $48.98 Median $61.66 Typical High $61.66 | Facility | None | $48.98 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $61.66 Typical High $61.66 | Professional | None (both parts) | $51.29 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.96 Typical High $10.96 | Professional | 26 · Professional part | $8.51 | $10.96 | $10.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $50.12 Typical High $50.12 | Professional | TC · Technical part | $42.66 | $50.12 | $50.12 |
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 $53.70 Median $53.70 Typical High $72.44 | Professional | None (both parts) | $53.70 | $53.70 | $72.44 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $13.18 | Professional | 26 · Professional part | $10.00 | $10.00 | $13.18 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $58.88 | Professional | TC · Technical part | $44.67 | $44.67 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $60.26 | Professional | None (both parts) | $48.98 | $48.98 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $9.12 Typical High $12.02 | Professional | 26 · Professional part | $9.12 | $9.12 | $12.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $48.98 | Professional | TC · Technical part | $39.81 | $39.81 | $48.98 |
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 $28.18 Median $43.65 Typical High $56.23 | Professional | None (both parts) | $28.18 | $43.65 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $7.94 Typical High $10.23 | Professional | 26 · Professional part | $6.17 | $7.94 | $10.23 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $36.31 Typical High $46.77 | Professional | TC · Technical part | $27.54 | $36.31 | $46.77 |
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 $26.92 Median $30.90 Typical High $30.90 | Professional | 52 · Reduced service | $26.92 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $12.30 Typical High $12.30 | Professional | 53 · Discontinued | $10.72 | $12.30 | $12.30 |
Where Arkansas sits
The same service costs 3.5 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· 26th of 51
$53.70
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.