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 $239.88 Median $1,862.09 Typical High $3,981.07 | Facility | None | $239.88 | $1,862.09 | $3,981.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $194.98 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $144.54 Typical High $144.54 | Professional | 26 · Professional part | $117.49 | $144.54 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $91.20 Typical High $91.20 | Professional | TC · Technical part | $75.86 | $91.20 | $91.20 |
BCBS Arkansas Setting Facility Modifier None Typical Low $6,456.54 Median $6,456.54 Typical High $8,709.64 | Facility | None | $6,456.54 | $6,456.54 | $8,709.64 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $169.82 | Professional | 26 · Professional part | $128.82 | $128.82 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $5,495.41 | Facility | None | $501.19 | $501.19 | $5,495.41 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $316.23 Typical High $436.52 | Professional | None (both parts) | $208.93 | $316.23 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $194.98 Typical High $269.15 | Professional | 26 · Professional part | $128.82 | $194.98 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $120.23 Typical High $165.96 | Professional | TC · Technical part | $81.28 | $120.23 | $165.96 |
United Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $2,570.40 | Facility | None | $407.38 | $588.84 | $2,570.40 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $239.88 Typical High $512.86 | Professional | None (both parts) | $177.83 | $239.88 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $147.91 Typical High $239.88 | Professional | 26 · Professional part | $104.71 | $147.91 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $89.13 Typical High $190.55 | Professional | TC · Technical part | $67.61 | $89.13 | $190.55 |
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 $97.72 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $97.72 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $38.90 | $47.86 | $47.86 |
Where Arkansas sits
The same service costs 30.2 times more in Oklahoma 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· 4th of 51
$851
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.