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 $275.42 Median $1,819.70 Typical High $6,309.57 | Facility | None | $275.42 | $1,819.70 | $6,309.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $223.87 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $199.53 Typical High $199.53 | Professional | 26 · Professional part | $165.96 | $199.53 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $72.44 Typical High $72.44 | Professional | TC · Technical part | $60.26 | $72.44 | $72.44 |
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 $173.78 Median $173.78 Typical High $234.42 | Professional | 26 · Professional part | $173.78 | $173.78 | $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 $245.47 Median $363.08 Typical High $501.19 | Professional | None (both parts) | $245.47 | $363.08 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $269.15 Typical High $363.08 | Professional | 26 · Professional part | $177.83 | $269.15 | $363.08 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $97.72 Typical High $131.83 | Professional | TC · Technical part | $66.07 | $97.72 | $131.83 |
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 $208.93 Median $288.40 Typical High $588.84 | Professional | None (both parts) | $208.93 | $288.40 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $208.93 Typical High $323.59 | Professional | 26 · Professional part | $144.54 | $208.93 | $323.59 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $75.86 Typical High $158.49 | Professional | TC · Technical part | $56.23 | $75.86 | $158.49 |
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 $112.20 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $112.20 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $44.67 | $54.95 | $54.95 |
Where Arkansas sits
The same service costs 5.8 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.