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 $190.55 Median $1,862.09 Typical High $3,981.07 | Facility | None | $190.55 | $1,862.09 | $3,981.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $190.55 Typical High $218.78 | Professional | None (both parts) | $134.90 | $190.55 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $144.54 Typical High $144.54 | Professional | 26 · Professional part | $100.00 | $144.54 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $45.71 Typical High $46.77 | Professional | TC · Technical part | $33.11 | $45.71 | $46.77 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | 26 · Professional part | $154.88 | $154.88 | $154.88 |
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 Professional Modifier None (both parts) Typical Low $144.54 Median $251.19 Typical High $295.12 | Professional | None (both parts) | $144.54 | $251.19 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $190.55 Typical High $223.87 | Professional | 26 · Professional part | $109.65 | $190.55 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $58.88 Typical High $85.11 | Professional | TC · Technical part | $34.67 | $58.88 | $85.11 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 26 · Professional part | $177.83 | $177.83 | $177.83 |
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 $147.91 Median $467.74 Typical High $4,786.30 | Professional | None (both parts) | $147.91 | $467.74 | $4,786.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $165.96 Typical High $309.03 | Professional | 26 · Professional part | $102.33 | $165.96 | $309.03 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $269.15 Typical High $4,466.84 | Professional | TC · Technical part | $35.48 | $269.15 | $4,466.84 |
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 $77.62 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $77.62 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $30.90 | $38.02 | $38.02 |
Where Arkansas sits
The same service costs 18.6 times more in Tennessee than in South Carolina. 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· 30th of 51
$240
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.