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 $194.98 Median $1,819.70 Typical High $6,309.57 | Facility | None | $194.98 | $1,819.70 | $6,309.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $162.18 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $141.25 Typical High $141.25 | Professional | 26 · Professional part | $117.49 | $141.25 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $52.48 Typical High $52.48 | Professional | TC · Technical part | $43.65 | $52.48 | $52.48 |
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 $125.89 Median $125.89 Typical High $165.96 | Professional | 26 · Professional part | $125.89 | $125.89 | $165.96 |
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 $173.78 Median $263.03 Typical High $354.81 | Professional | None (both parts) | $173.78 | $263.03 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $190.55 Typical High $263.03 | Professional | 26 · Professional part | $125.89 | $190.55 | $263.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $69.18 Typical High $93.33 | Professional | TC · Technical part | $46.77 | $69.18 | $93.33 |
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 $147.91 Median $199.53 Typical High $416.87 | Professional | None (both parts) | $147.91 | $199.53 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $147.91 Typical High $234.42 | Professional | 26 · Professional part | $102.33 | $147.91 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $51.29 Typical High $107.15 | Professional | TC · Technical part | $38.02 | $51.29 | $107.15 |
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 $81.28 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $81.28 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $32.36 | $38.90 | $38.90 |
Where Arkansas sits
The same service costs 8.3 times more in Louisiana 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
$692
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.