How much rates vary
Facilitymedian $76 · 10th to 90th $41 to $107Professionalmedian $39 · 10th to 90th $31 to $50
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 $33.88 Median $34.67 Typical High $42.66 | Facility | None | $33.88 | $34.67 | $42.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $34.67 Typical High $41.69 | Professional | None (both parts) | $28.18 | $34.67 | $41.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.96 Typical High $12.59 | Professional | 26 · Professional part | $7.59 | $10.96 | $12.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $23.99 Typical High $30.90 | Professional | TC · Technical part | $20.42 | $23.99 | $30.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $37.15 Median $45.71 Typical High $48.98 | Professional | None (both parts) | $37.15 | $45.71 | $48.98 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $14.45 | Professional | 26 · Professional part | $13.49 | $13.49 | $14.45 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $31.62 Typical High $35.48 | Professional | TC · Technical part | $26.30 | $31.62 | $35.48 |
BCBS Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $104.71 | Facility | None | $75.86 | $75.86 | $104.71 |
BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $46.77 | Professional | None (both parts) | $36.31 | $36.31 | $46.77 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $14.13 | Professional | 26 · Professional part | $10.96 | $10.96 | $14.13 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $25.70 Typical High $33.11 | Professional | TC · Technical part | $25.70 | $25.70 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $60.26 Typical High $134.90 | Facility | None | $32.36 | $60.26 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $33.11 Typical High $54.95 | Professional | None (both parts) | $26.30 | $33.11 | $54.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $9.33 Typical High $16.98 | Professional | 26 · Professional part | $7.41 | $9.33 | $16.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $21.38 Typical High $38.02 | Professional | TC · Technical part | $19.05 | $21.38 | $38.02 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $42.66 Median $52.48 Typical High $56.23 | Professional | None (both parts) | $42.66 | $52.48 | $56.23 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.49 Typical High $17.38 | Professional | 26 · Professional part | $15.49 | $15.49 | $17.38 |
Qualchoice Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $36.31 Typical High $40.74 | Professional | TC · Technical part | $25.70 | $36.31 | $40.74 |
United Setting Facility Modifier None Typical Low $114.82 Median $141.25 Typical High $257.04 | Facility | None | $114.82 | $141.25 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $27.54 Median $33.88 Typical High $56.23 | Professional | None (both parts) | $27.54 | $33.88 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.33 Typical High $16.60 | Professional | 26 · Professional part | $7.94 | $9.33 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $23.99 Typical High $42.66 | Professional | TC · Technical part | $19.05 | $23.99 | $42.66 |
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 $14.13 Median $17.38 Typical High $17.38 | Professional | 52 · Reduced service | $14.13 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $6.92 Typical High $6.92 | Professional | 53 · Discontinued | $5.62 | $6.92 | $6.92 |
Where Arkansas sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 19th of 51
$41.69
AK $87.10FL $25.12
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.