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 $501.19 Median $1,071.52 Typical High $1,412.54 | Facility | None | $501.19 | $1,071.52 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,071.52 Typical High $1,148.15 | Professional | None (both parts) | $912.01 | $1,071.52 | $1,148.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $162.18 Typical High $162.18 | Professional | 26 · Professional part | $120.23 | $162.18 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $912.01 Typical High $1,000.00 | Professional | TC · Technical part | $794.33 | $912.01 | $1,000.00 |
Ambetter 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 |
BCBS Arkansas Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $1,258.93 | Facility | None | $891.25 | $891.25 | $1,258.93 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $851.14 Median $954.99 Typical High $1,148.15 | Professional | None (both parts) | $851.14 | $954.99 | $1,148.15 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $144.54 Typical High $173.78 | Professional | 26 · Professional part | $128.82 | $144.54 | $173.78 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $812.83 Typical High $954.99 | Professional | TC · Technical part | $724.44 | $812.83 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,047.13 | Facility | None | $1,000.00 | $1,000.00 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,047.13 Typical High $1,659.59 | Professional | None (both parts) | $891.25 | $1,047.13 | $1,659.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $141.25 Typical High $218.78 | Professional | 26 · Professional part | $125.89 | $141.25 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $776.25 Median $891.25 Typical High $1,412.54 | Professional | TC · Technical part | $776.25 | $891.25 | $1,412.54 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,412.54 Typical High $2,570.40 | Facility | None | $1,122.02 | $1,412.54 | $2,570.40 |
United Setting Professional Modifier None (both parts) Typical Low $758.58 Median $1,122.02 Typical High $1,698.24 | Professional | None (both parts) | $758.58 | $1,122.02 | $1,698.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $151.36 Typical High $245.47 | Professional | 26 · Professional part | $109.65 | $151.36 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $933.25 Typical High $1,479.11 | Professional | TC · Technical part | $645.65 | $933.25 | $1,479.11 |
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 $457.09 Median $537.03 Typical High $537.03 | Professional | 52 · Reduced service | $457.09 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $213.80 Typical High $213.80 | Professional | 53 · Discontinued | $181.97 | $213.80 | $213.80 |
Where Arkansas sits
The same service costs 2.9 times more in Alaska than in Texas. 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
$1,072
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.