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 $257.04 Median $1,819.70 Typical High $6,309.57 | Facility | None | $257.04 | $1,819.70 | $6,309.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $257.04 Typical High $269.15 | Professional | None (both parts) | $165.96 | $257.04 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $194.98 Typical High $208.93 | Professional | 26 · Professional part | $69.18 | $194.98 | $208.93 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $61.66 Typical High $64.57 | Professional | TC · Technical part | $40.74 | $61.66 | $64.57 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $257.04 Typical High $257.04 | Professional | 26 · Professional part | $72.44 | $257.04 | $257.04 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $169.82 Typical High $223.87 | Professional | 26 · Professional part | $169.82 | $169.82 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $338.84 Typical High $398.11 | Professional | None (both parts) | $95.50 | $338.84 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $257.04 Typical High $309.03 | Professional | 26 · Professional part | $74.13 | $257.04 | $309.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $81.28 Typical High $114.82 | Professional | TC · Technical part | $22.91 | $81.28 | $114.82 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $295.12 Typical High $295.12 | Professional | 26 · Professional part | $83.18 | $295.12 | $295.12 |
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 $275.42 Median $562.34 Typical High $831.76 | Professional | None (both parts) | $275.42 | $562.34 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $194.98 Typical High $316.23 | Professional | 26 · Professional part | $117.49 | $194.98 | $316.23 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $281.84 Typical High $2,570.40 | Professional | TC · Technical part | $123.03 | $281.84 | $2,570.40 |
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 $83.18 Median $128.82 Typical High $128.82 | Professional | 52 · Reduced service | $83.18 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $51.29 Typical High $51.29 | Professional | 53 · Discontinued | $33.11 | $51.29 | $51.29 |
Where Arkansas sits
The same service costs 4.8 times more in Nebraska 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· 26th of 51
$295
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.