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 $199.53 Median $1,288.25 Typical High $2,454.71 | Facility | None | $199.53 | $1,288.25 | $2,454.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $199.53 Typical High $229.09 | Professional | None (both parts) | $158.49 | $199.53 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $95.50 Typical High $100.00 | Professional | 26 · Professional part | $75.86 | $95.50 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $104.71 Typical High $109.65 | Professional | TC · Technical part | $85.11 | $104.71 | $109.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $154.88 | Professional | 26 · Professional part | $102.33 | $102.33 | $154.88 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $109.65 | Professional | 26 · Professional part | $83.18 | $83.18 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $245.47 Typical High $354.81 | Professional | None (both parts) | $177.83 | $245.47 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $120.23 Typical High $173.78 | Professional | 26 · Professional part | $83.18 | $120.23 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $125.89 Typical High $186.21 | Professional | TC · Technical part | $95.50 | $125.89 | $186.21 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $141.25 Typical High $177.83 | Professional | 26 · Professional part | $117.49 | $141.25 | $177.83 |
United Setting Facility Modifier None Typical Low $75.86 Median $128.82 Typical High $707.95 | Facility | None | $75.86 | $128.82 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $199.53 Typical High $323.59 | Professional | None (both parts) | $151.36 | $199.53 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $97.72 Typical High $154.88 | Professional | 26 · Professional part | $66.07 | $97.72 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $104.71 Typical High $169.82 | Professional | TC · Technical part | $77.62 | $104.71 | $169.82 |
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 $79.43 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $79.43 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $32.36 | $39.81 | $39.81 |
Where Arkansas sits
The same service costs 4.3 times more in Wisconsin than in Hawaii. 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· 33rd of 51
$200
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.