How much rates vary
Facilitymedian $120 · 10th to 90th $107 to $234Professionalmedian $158 · 10th to 90th $107 to $214
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 $154.88 Median $158.49 Typical High $1,000.00 | Facility | None | $154.88 | $158.49 | $1,000.00 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $95.50 Median $97.72 Typical High $117.49 | Facility | TC · Technical part | $95.50 | $97.72 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $158.49 Typical High $323.59 | Professional | None (both parts) | $120.23 | $158.49 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $61.66 Typical High $79.43 | Professional | 26 · Professional part | $41.69 | $61.66 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $97.72 Typical High $229.09 | Professional | TC · Technical part | $79.43 | $97.72 | $229.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $162.18 | $162.18 | $162.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $64.57 Typical High $69.18 | Professional | 26 · Professional part | $63.10 | $64.57 | $69.18 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $100.00 Typical High $112.20 | Professional | TC · Technical part | $91.20 | $100.00 | $112.20 |
BCBS Arkansas Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $147.91 | Facility | None | $107.15 | $107.15 | $147.91 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $162.18 | Professional | None (both parts) | $128.82 | $128.82 | $162.18 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $64.57 | Professional | 26 · Professional part | $50.12 | $50.12 | $64.57 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $100.00 | Professional | TC · Technical part | $77.62 | $77.62 | $100.00 |
CareSource Setting Professional Modifier None (both parts) Typical Low $52.48 Median $81.28 Typical High $158.49 | Professional | None (both parts) | $52.48 | $81.28 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $138.04 Typical High $245.47 | Facility | None | $48.98 | $138.04 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $138.04 Typical High $338.84 | Professional | None (both parts) | $97.72 | $138.04 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $42.66 Typical High $89.13 | Professional | 26 · Professional part | $33.88 | $42.66 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $83.18 Typical High $251.19 | Professional | TC · Technical part | $60.26 | $83.18 | $251.19 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $208.93 | Professional | None (both parts) | $190.55 | $190.55 | $208.93 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $74.13 Typical High $83.18 | Professional | 26 · Professional part | $51.29 | $74.13 | $83.18 |
Qualchoice Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $128.82 | Professional | TC · Technical part | $114.82 | $114.82 | $128.82 |
United Setting Facility Modifier None Typical Low $138.04 Median $169.82 Typical High $309.03 | Facility | None | $138.04 | $169.82 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $186.21 Typical High $295.12 | Professional | None (both parts) | $104.71 | $186.21 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $44.67 Typical High $79.43 | Professional | 26 · Professional part | $38.02 | $44.67 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $109.65 Typical High $234.42 | Professional | TC · Technical part | $63.10 | $109.65 | $234.42 |
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 $69.18 Median $79.43 Typical High $128.82 | Professional | 52 · Reduced service | $69.18 | $79.43 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $31.62 Typical High $51.29 | Professional | 53 · Discontinued | $27.54 | $31.62 | $51.29 |
Where Arkansas sits
The same service costs 20.4 times more in Vermont than in Utah. 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· 32nd of 51
$158
VT $1,585UT $77.62
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.