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 $19.50 Median $19.50 Typical High $51.29 | Facility | None | $19.50 | $19.50 | $51.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $17.38 Median $19.50 Typical High $19.50 | Professional | None (both parts) | $17.38 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.98 Typical High $16.98 | Professional | 26 · Professional part | $14.13 | $16.98 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2.75 Median $2.75 Typical High $3.24 | Professional | TC · Technical part | $2.75 | $2.75 | $3.24 |
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 $17.78 Median $23.44 Typical High $23.44 | Professional | None (both parts) | $17.78 | $23.44 | $23.44 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $19.95 Typical High $19.95 | Professional | 26 · Professional part | $15.14 | $19.95 | $19.95 |
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 $15.49 Median $27.54 Typical High $35.48 | Professional | None (both parts) | $15.49 | $27.54 | $35.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $16.60 Typical High $20.89 | Professional | 26 · Professional part | $12.30 | $16.60 | $20.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.16 Median $10.72 Typical High $10.72 | Professional | TC · Technical part | $3.16 | $10.72 | $10.72 |
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 $13.18 Median $16.22 Typical High $37.15 | Professional | None (both parts) | $13.18 | $16.22 | $37.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.22 Typical High $17.78 | Professional | 26 · Professional part | $10.23 | $11.22 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $2.29 Median $3.09 Typical High $26.30 | Professional | TC · Technical part | $2.29 | $3.09 | $26.30 |
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 $8.51 Median $9.77 Typical High $9.77 | Professional | 52 · Reduced service | $8.51 | $9.77 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.98 Typical High $3.98 | Professional | 53 · Discontinued | $3.47 | $3.98 | $3.98 |
Where Arkansas sits
The same service costs 2.6 times more in California than in New York. 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· 22nd of 51
$19.50
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.