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 $389.05 Median $1,819.70 Typical High $6,309.57 | Facility | None | $389.05 | $1,819.70 | $6,309.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $389.05 Typical High $389.05 | Professional | None (both parts) | $302.00 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $309.03 Typical High $309.03 | Professional | 26 · Professional part | $239.88 | $309.03 | $309.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $81.28 Typical High $81.28 | Professional | TC · Technical part | $64.57 | $81.28 | $81.28 |
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 $263.03 Median $263.03 Typical High $346.74 | Professional | 26 · Professional part | $263.03 | $263.03 | $346.74 |
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 $338.84 Median $537.03 Typical High $707.95 | Professional | None (both parts) | $338.84 | $537.03 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $426.58 Typical High $562.34 | Professional | 26 · Professional part | $263.03 | $426.58 | $562.34 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $112.20 Typical High $147.91 | Professional | TC · Technical part | $72.44 | $112.20 | $147.91 |
United Setting Facility Modifier None Typical Low $1,659.59 Median $2,511.89 Typical High $9,120.11 | Facility | None | $1,659.59 | $2,511.89 | $9,120.11 |
United Setting Professional Modifier None (both parts) Typical Low $295.12 Median $436.52 Typical High $741.31 | Professional | None (both parts) | $295.12 | $436.52 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $331.13 Typical High $512.86 | Professional | 26 · Professional part | $223.87 | $331.13 | $512.86 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $97.72 Typical High $194.98 | Professional | TC · Technical part | $69.18 | $97.72 | $194.98 |
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 $151.36 Median $194.98 Typical High $194.98 | Professional | 52 · Reduced service | $151.36 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $77.62 Typical High $77.62 | Professional | 53 · Discontinued | $61.66 | $77.62 | $77.62 |
Where Arkansas sits
The same service costs 9.5 times more in Louisiana than in New York. 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
$2,512
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.