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 $22.91 Median $22.91 Typical High $22.91 | Facility | None | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None (both parts) | $22.91 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | 26 · Professional part | $10.96 | $10.96 | $10.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | TC · Technical part | $12.02 | $12.02 | $12.02 |
BCBS Arkansas Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $43.65 | Facility | None | $32.36 | $32.36 | $43.65 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $19.50 Median $19.50 Typical High $25.70 | Professional | None (both parts) | $19.50 | $19.50 | $25.70 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $8.91 Typical High $12.02 | Professional | 26 · Professional part | $8.91 | $8.91 | $12.02 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $10.47 Typical High $13.80 | Professional | TC · Technical part | $10.47 | $10.47 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16.98 Median $17.78 Typical High $17.78 | Professional | None (both parts) | $16.98 | $17.78 | $17.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 26 · Professional part | $7.41 | $7.41 | $7.41 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $9.33 Median $10.23 Typical High $10.23 | Professional | TC · Technical part | $9.33 | $10.23 | $10.23 |
United Setting Facility Modifier None Typical Low $48.98 Median $60.26 Typical High $112.20 | Facility | None | $48.98 | $60.26 | $112.20 |
United Setting Professional Modifier None (both parts) Typical Low $15.85 Median $20.42 Typical High $32.36 | Professional | None (both parts) | $15.85 | $20.42 | $32.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.91 Typical High $15.14 | Professional | 26 · Professional part | $7.41 | $8.91 | $15.14 |
United Setting Professional Modifier TC · Technical part Typical Low $8.51 Median $10.72 Typical High $19.05 | Professional | TC · Technical part | $8.51 | $10.72 | $19.05 |
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 $11.48 Median $11.48 Typical High $11.48 | Professional | 52 · Reduced service | $11.48 | $11.48 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.57 Typical High $4.57 | Professional | 53 · Discontinued | $4.57 | $4.57 | $4.57 |
Where Arkansas sits
The same service costs 2.3 times more in Wisconsin than in North Carolina. 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· 29th of 51
$21.38
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.