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 $524.81 Median $1,862.09 Typical High $3,981.07 | Facility | None | $524.81 | $1,862.09 | $3,981.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None (both parts) | $524.81 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 26 · Professional part | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | TC · Technical part | $309.03 | $309.03 | $309.03 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $190.55 Typical High $257.04 | Professional | 26 · Professional part | $190.55 | $190.55 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $758.58 Typical High $954.99 | Professional | None (both parts) | $309.03 | $758.58 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $316.23 Typical High $407.38 | Professional | 26 · Professional part | $125.89 | $316.23 | $407.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $426.58 Typical High $562.34 | Professional | TC · Technical part | $181.97 | $426.58 | $562.34 |
United Setting Facility Modifier None Typical Low $128.82 Median $457.09 Typical High $851.14 | Facility | None | $128.82 | $457.09 | $851.14 |
United Setting Professional Modifier None (both parts) Typical Low $398.11 Median $537.03 Typical High $1,174.90 | Professional | None (both parts) | $398.11 | $537.03 | $1,174.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $204.17 Typical High $354.81 | Professional | 26 · Professional part | $158.49 | $204.17 | $354.81 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $323.59 Typical High $1,047.13 | Professional | TC · Technical part | $234.42 | $323.59 | $1,047.13 |
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 $263.03 Median $263.03 Typical High $263.03 | Professional | 52 · Reduced service | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 53 · Discontinued | $107.15 | $107.15 | $107.15 |
Where Arkansas sits
The same service costs 3.0 times more in Wisconsin than in North 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· 33rd of 51
$525
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.