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 $20.89 Median $20.89 Typical High $54.95 | Facility | None | $20.89 | $20.89 | $54.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $18.62 Median $20.89 Typical High $20.89 | Professional | None (both parts) | $18.62 | $20.89 | $20.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $18.20 Typical High $18.20 | Professional | 26 · Professional part | $15.14 | $18.20 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2.75 Median $2.75 Typical High $3.55 | Professional | TC · Technical part | $2.75 | $2.75 | $3.55 |
BCBS Arkansas Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $194.98 | Facility | None | $138.04 | $138.04 | $194.98 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $19.05 Median $25.12 Typical High $25.12 | Professional | None (both parts) | $19.05 | $25.12 | $25.12 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $21.38 Typical High $21.38 | Professional | 26 · Professional part | $16.22 | $21.38 | $21.38 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $2.82 Median $3.72 Typical High $3.72 | Professional | TC · Technical part | $2.82 | $3.72 | $3.72 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $151.36 Typical High $173.78 | Facility | None | $79.43 | $151.36 | $173.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $31.62 Typical High $38.02 | Professional | None (both parts) | $17.78 | $31.62 | $38.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $19.05 Typical High $22.91 | Professional | 26 · Professional part | $13.18 | $19.05 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.39 Median $12.30 Typical High $12.30 | Professional | TC · Technical part | $3.39 | $12.30 | $12.30 |
United Setting Facility Modifier None Typical Low $169.82 Median $208.93 Typical High $380.19 | Facility | None | $169.82 | $208.93 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $14.13 Median $16.98 Typical High $39.81 | Professional | None (both parts) | $14.13 | $16.98 | $39.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $12.88 Typical High $19.05 | Professional | 26 · Professional part | $11.48 | $12.88 | $19.05 |
United Setting Professional Modifier TC · Technical part Typical Low $2.29 Median $3.09 Typical High $28.18 | Professional | TC · Technical part | $2.29 | $3.09 | $28.18 |
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 $9.33 Median $10.47 Typical High $10.47 | Professional | 52 · Reduced service | $9.33 | $10.47 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $4.17 Typical High $4.17 | Professional | 53 · Discontinued | $3.72 | $4.17 | $4.17 |
Where Arkansas sits
The same service costs 2.5 times more in California than in Texas. 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· 23rd of 51
$20.89
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.