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 $162.18 Typical High $162.18 | Facility | None | $87.10 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $141.25 | $162.18 | $162.18 |
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 $125.89 Typical High $125.89 | Professional | TC · Technical part | $114.82 | $125.89 | $125.89 |
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 $134.90 Median $147.91 Typical High $177.83 | Professional | None (both parts) | $134.90 | $147.91 | $177.83 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $33.11 Typical High $39.81 | Professional | 26 · Professional part | $30.20 | $33.11 | $39.81 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $114.82 Typical High $138.04 | Professional | TC · Technical part | $104.71 | $114.82 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $257.04 Typical High $269.15 | Facility | None | $194.98 | $257.04 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $144.54 Typical High $275.42 | Professional | None (both parts) | $125.89 | $144.54 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $31.62 Typical High $53.70 | Professional | 26 · Professional part | $26.92 | $31.62 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $117.49 Typical High $229.09 | Professional | TC · Technical part | $104.71 | $117.49 | $229.09 |
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 $89.13 Median $134.90 Typical High $275.42 | Professional | None (both parts) | $89.13 | $134.90 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.90 Typical High $54.95 | Professional | 26 · Professional part | $23.44 | $30.90 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $107.15 Typical High $229.09 | Professional | TC · Technical part | $52.48 | $107.15 | $229.09 |
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 $70.79 Median $81.28 Typical High $81.28 | Professional | 52 · Reduced service | $70.79 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $28.18 | $32.36 | $32.36 |
Where Arkansas sits
The same service costs 2.8 times more in Alaska than in Kentucky. 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· 35th of 51
$162
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.