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 $87.10 Median $154.88 Typical High $154.88 | Facility | None | $87.10 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $144.54 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $27.54 | $34.67 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $120.23 Typical High $120.23 | Professional | TC · Technical part | $114.82 | $120.23 | $120.23 |
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 $123.03 Median $134.90 Typical High $162.18 | Professional | None (both parts) | $123.03 | $134.90 | $162.18 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $30.90 Typical High $37.15 | Professional | 26 · Professional part | $28.18 | $30.90 | $37.15 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $102.33 Typical High $123.03 | Professional | TC · Technical part | $93.33 | $102.33 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $257.04 Typical High $331.13 | Facility | None | $234.42 | $257.04 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $128.82 Typical High $288.40 | Professional | None (both parts) | $114.82 | $128.82 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $31.62 Typical High $54.95 | Professional | 26 · Professional part | $26.92 | $31.62 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $102.33 Typical High $223.87 | Professional | TC · Technical part | $93.33 | $102.33 | $223.87 |
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 $85.11 Median $134.90 Typical High $269.15 | Professional | None (both parts) | $85.11 | $134.90 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $29.51 Typical High $53.70 | Professional | 26 · Professional part | $23.44 | $29.51 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $107.15 Typical High $208.93 | Professional | TC · Technical part | $52.48 | $107.15 | $208.93 |
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 $72.44 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $72.44 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $28.84 | $30.90 | $30.90 |
Where Arkansas sits
The same service costs 3.2 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· 34th of 51
$155
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.