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 $36.31 Median $36.31 Typical High $75.86 | Facility | None | $36.31 | $36.31 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None (both parts) | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 26 · Professional part | $15.85 | $15.85 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | TC · Technical part | $20.89 | $20.89 | $20.89 |
BCBS Arkansas Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $81.28 | Facility | None | $57.54 | $57.54 | $81.28 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $31.62 Median $31.62 Typical High $41.69 | Professional | None (both parts) | $31.62 | $31.62 | $41.69 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $13.80 Typical High $18.20 | Professional | 26 · Professional part | $13.80 | $13.80 | $18.20 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $17.78 Typical High $23.44 | Professional | TC · Technical part | $17.78 | $17.78 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $64.57 Typical High $64.57 | Facility | None | $23.44 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $47.86 Typical High $69.18 | Professional | None (both parts) | $22.91 | $47.86 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $20.89 Typical High $29.51 | Professional | 26 · Professional part | $9.33 | $20.89 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $26.92 Typical High $39.81 | Professional | TC · Technical part | $13.80 | $26.92 | $39.81 |
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 $26.30 Median $36.31 Typical High $70.79 | Professional | None (both parts) | $26.30 | $36.31 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $14.45 Typical High $26.30 | Professional | 26 · Professional part | $10.96 | $14.45 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $20.89 Typical High $43.65 | Professional | TC · Technical part | $14.79 | $20.89 | $43.65 |
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 $18.20 Median $18.20 Typical High $18.20 | Professional | 52 · Reduced service | $18.20 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 53 · Discontinued | $7.41 | $7.41 | $7.41 |
Where Arkansas sits
The same service costs 2.6 times more in Minnesota than in Alabama. 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· 37th of 51
$34.67
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.