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 $60.26 Median $158.49 Typical High $173.78 | Facility | None | $60.26 | $158.49 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $107.15 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $30.20 | $56.23 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $102.33 Typical High $107.15 | Professional | TC · Technical part | $91.20 | $102.33 | $107.15 |
BCBS Arkansas Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $154.88 | Facility | None | $109.65 | $109.65 | $154.88 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $186.21 | Professional | None (both parts) | $141.25 | $141.25 | $186.21 |
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 $93.33 Median $93.33 Typical High $123.03 | Professional | TC · Technical part | $93.33 | $93.33 | $123.03 |
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 $87.10 Median $125.89 Typical High $218.78 | Professional | None (both parts) | $87.10 | $125.89 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $45.71 Typical High $70.79 | Professional | 26 · Professional part | $18.20 | $45.71 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $83.18 Typical High $151.36 | Professional | TC · Technical part | $43.65 | $83.18 | $151.36 |
United Setting Facility Modifier None Typical Low $173.78 Median $218.78 Typical High $398.11 | Facility | None | $173.78 | $218.78 | $398.11 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $141.25 Typical High $245.47 | Professional | None (both parts) | $58.88 | $141.25 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $47.86 Typical High $83.18 | Professional | 26 · Professional part | $36.31 | $47.86 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $104.71 Typical High $190.55 | Professional | TC · Technical part | $58.88 | $104.71 | $190.55 |
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 $63.10 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $63.10 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $25.12 | $31.62 | $31.62 |
Where Arkansas sits
The same service costs 5.2 times more in Alaska than in Indiana. 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· 31st of 51
$145
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.