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 $407.38 Median $691.83 Typical High $691.83 | Facility | None | $407.38 | $691.83 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $691.83 Typical High $691.83 | Professional | None (both parts) | $602.56 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $288.40 Typical High $288.40 | Professional | 26 · Professional part | $229.09 | $288.40 | $288.40 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $407.38 Typical High $407.38 | Professional | TC · Technical part | $371.54 | $407.38 | $407.38 |
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 $562.34 Median $616.60 Typical High $741.31 | Professional | None (both parts) | $562.34 | $616.60 | $741.31 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $257.04 Typical High $309.03 | Professional | 26 · Professional part | $229.09 | $257.04 | $309.03 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $363.08 Typical High $426.58 | Professional | TC · Technical part | $323.59 | $363.08 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $1,000.00 Typical High $1,047.13 | Facility | None | $204.17 | $1,000.00 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $512.86 Typical High $1,000.00 | Professional | None (both parts) | $489.78 | $512.86 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $245.47 Typical High $380.19 | Professional | 26 · Professional part | $213.80 | $245.47 | $380.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $295.12 Typical High $676.08 | Professional | TC · Technical part | $245.47 | $295.12 | $676.08 |
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 $309.03 Median $549.54 Typical High $1,230.27 | Professional | None (both parts) | $309.03 | $549.54 | $1,230.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $239.88 Typical High $436.52 | Professional | 26 · Professional part | $190.55 | $239.88 | $436.52 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $338.84 Typical High $831.76 | Professional | TC · Technical part | $100.00 | $338.84 | $831.76 |
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 $302.00 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $302.00 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $120.23 | $141.25 | $141.25 |
Where Arkansas sits
The same service costs 3.2 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· 25th of 51
$692
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.