How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $181.97 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $114.82 Typical High $114.82 | Professional | 26 · Professional part | $93.33 | $114.82 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $104.71 Typical High $104.71 | Professional | TC · Technical part | $87.10 | $104.71 | $104.71 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 26 · Professional part | $169.82 | $169.82 | $169.82 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $114.82 Typical High $138.04 | Professional | 26 · Professional part | $104.71 | $114.82 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $295.12 Typical High $380.19 | Professional | None (both parts) | $177.83 | $295.12 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $154.88 Typical High $194.98 | Professional | 26 · Professional part | $91.20 | $154.88 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $141.25 Typical High $199.53 | Professional | TC · Technical part | $87.10 | $141.25 | $199.53 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | 26 · Professional part | $194.98 | $194.98 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $354.81 Typical High $575.44 | Professional | None (both parts) | $251.19 | $354.81 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $114.82 Typical High $204.17 | Professional | 26 · Professional part | $81.28 | $114.82 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $218.78 Typical High $380.19 | Professional | TC · Technical part | $158.49 | $218.78 | $380.19 |
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 $89.13 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $89.13 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $36.31 | $43.65 | $43.65 |
Where Arkansas sits
The same service costs 3.1 times more in Alaska 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· 28th of 51
$269
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.