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 $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 26 · Professional part | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | TC · Technical part | $61.66 | $61.66 | $61.66 |
BCBS Arkansas Setting Facility Modifier None Typical Low $46.77 Median $46.77 Typical High $66.07 | Facility | None | $46.77 | $46.77 | $66.07 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $288.40 | Professional | None (both parts) | $218.78 | $218.78 | $288.40 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $165.96 Typical High $218.78 | Professional | 26 · Professional part | $165.96 | $165.96 | $218.78 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $70.79 | Professional | TC · Technical part | $53.70 | $53.70 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $5,248.07 | Facility | None | $120.23 | $120.23 | $5,248.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $457.09 Typical High $467.74 | Professional | None (both parts) | $144.54 | $457.09 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $302.00 Typical High $346.74 | Professional | 26 · Professional part | $107.15 | $302.00 | $346.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $125.89 Typical High $162.18 | Professional | TC · Technical part | $36.31 | $125.89 | $162.18 |
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 $177.83 Median $263.03 Typical High $512.86 | Professional | None (both parts) | $177.83 | $263.03 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $177.83 Typical High $338.84 | Professional | 26 · Professional part | $131.83 | $177.83 | $338.84 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $74.13 Typical High $173.78 | Professional | TC · Technical part | $43.65 | $74.13 | $173.78 |
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 $125.89 Median $125.89 Typical High $125.89 | Professional | 52 · Reduced service | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 53 · Discontinued | $50.12 | $50.12 | $50.12 |
Where Arkansas sits
The same service costs 3.5 times more in Alaska than in Utah. 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· 32nd 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.