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 $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $154.88 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $87.10 | $112.20 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $72.44 Typical High $72.44 | Professional | TC · Technical part | $63.10 | $72.44 | $72.44 |
BCBS Arkansas Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $380.19 | Facility | None | $263.03 | $263.03 | $380.19 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $147.91 Median $162.18 Typical High $194.98 | Professional | None (both parts) | $147.91 | $162.18 | $194.98 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $100.00 Typical High $120.23 | Professional | 26 · Professional part | $91.20 | $100.00 | $120.23 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $61.66 Typical High $74.13 | Professional | TC · Technical part | $56.23 | $61.66 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $257.04 Typical High $257.04 | Facility | None | $194.98 | $257.04 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $165.96 Typical High $239.88 | Professional | None (both parts) | $134.90 | $165.96 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $97.72 Typical High $147.91 | Professional | 26 · Professional part | $85.11 | $97.72 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $66.07 Typical High $95.50 | Professional | TC · Technical part | $48.98 | $66.07 | $95.50 |
United Setting Facility Modifier None Typical Low $281.84 Median $354.81 Typical High $645.65 | Facility | None | $281.84 | $354.81 | $645.65 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $169.82 Typical High $275.42 | Professional | None (both parts) | $125.89 | $169.82 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $104.71 Typical High $169.82 | Professional | 26 · Professional part | $74.13 | $104.71 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $69.18 Typical High $112.20 | Professional | TC · Technical part | $51.29 | $69.18 | $112.20 |
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 $75.86 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $75.86 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $37.15 Typical High $37.15 | Professional | 53 · Discontinued | $30.90 | $37.15 | $37.15 |
Where Arkansas sits
The same service costs 3.6 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· 21st of 51
$186
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.