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 $263.03 Median $1,819.70 Typical High $6,309.57 | Facility | None | $263.03 | $1,819.70 | $6,309.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $218.78 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $204.17 Typical High $204.17 | Professional | 26 · Professional part | $165.96 | $204.17 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $63.10 Typical High $63.10 | Professional | TC · Technical part | $52.48 | $63.10 | $63.10 |
BCBS Arkansas Setting Facility Modifier None Typical Low $6,918.31 Median $6,918.31 Typical High $9,332.54 | Facility | None | $6,918.31 | $6,918.31 | $9,332.54 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $177.83 Typical High $234.42 | Professional | 26 · Professional part | $177.83 | $177.83 | $234.42 |
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 $234.42 Median $354.81 Typical High $489.78 | Professional | None (both parts) | $234.42 | $354.81 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $269.15 Typical High $371.54 | Professional | 26 · Professional part | $177.83 | $269.15 | $371.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $85.11 Typical High $114.82 | Professional | TC · Technical part | $56.23 | $85.11 | $114.82 |
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 $199.53 Median $275.42 Typical High $575.44 | Professional | None (both parts) | $199.53 | $275.42 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $208.93 Typical High $331.13 | Professional | 26 · Professional part | $147.91 | $208.93 | $331.13 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $64.57 Typical High $131.83 | Professional | TC · Technical part | $46.77 | $64.57 | $131.83 |
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 $109.65 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $109.65 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $43.65 | $52.48 | $52.48 |
Where Arkansas sits
The same service costs 5.9 times more in Louisiana 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· 5th 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.