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 $323.59 Median $323.59 Typical High $354.81 | Facility | None | $323.59 | $323.59 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $204.17 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $117.49 Typical High $117.49 | Professional | 26 · Professional part | $72.44 | $117.49 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $204.17 Typical High $213.80 | Professional | TC · Technical part | $128.82 | $204.17 | $213.80 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None (both parts) | $537.03 | $537.03 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $398.11 Typical High $446.68 | Professional | None (both parts) | $251.19 | $398.11 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $151.36 Typical High $165.96 | Professional | 26 · Professional part | $91.20 | $151.36 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $251.19 Typical High $281.84 | Professional | TC · Technical part | $158.49 | $251.19 | $281.84 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None (both parts) | $616.60 | $616.60 | $616.60 |
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 $229.09 Median $323.59 Typical High $512.86 | Professional | None (both parts) | $229.09 | $323.59 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $117.49 Typical High $181.97 | Professional | 26 · Professional part | $69.18 | $117.49 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $208.93 Typical High $331.13 | Professional | TC · Technical part | $154.88 | $208.93 | $331.13 |
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 $102.33 Median $162.18 Typical High $162.18 | Professional | 52 · Reduced service | $102.33 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $64.57 Typical High $64.57 | Professional | 53 · Discontinued | $40.74 | $64.57 | $64.57 |
Where Arkansas sits
The same service costs 4.3 times more in Wisconsin than in Oregon. 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
$324
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.