How much rates vary
Facilitymedian $195 · 10th to 90th $174 to $457Professionalmedian $398 · 10th to 90th $295 to $550
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 $380.19 Median $398.11 Typical High $912.01 | Facility | None | $380.19 | $398.11 | $912.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $398.11 Typical High $562.34 | Professional | None (both parts) | $295.12 | $398.11 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $125.89 Typical High $151.36 | Professional | 26 · Professional part | $85.11 | $125.89 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $269.15 Typical High $389.05 | Professional | TC · Technical part | $204.17 | $269.15 | $389.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $478.63 | Professional | None (both parts) | $398.11 | $398.11 | $478.63 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $131.83 Typical High $147.91 | Professional | 26 · Professional part | $131.83 | $131.83 | $147.91 |
BCBS Arkansas Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $239.88 | Facility | None | $173.78 | $173.78 | $239.88 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $416.87 | Professional | None (both parts) | $323.59 | $323.59 | $416.87 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $131.83 | Professional | 26 · Professional part | $102.33 | $102.33 | $131.83 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $281.84 | Professional | TC · Technical part | $218.78 | $218.78 | $281.84 |
CareSource Setting Professional Modifier None (both parts) Typical Low $107.15 Median $239.88 Typical High $407.38 | Professional | None (both parts) | $107.15 | $239.88 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $338.84 Typical High $707.95 | Facility | None | $83.18 | $338.84 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $380.19 Typical High $741.31 | Professional | None (both parts) | $263.03 | $380.19 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $85.11 Typical High $154.88 | Professional | 26 · Professional part | $70.79 | $85.11 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $295.12 Typical High $602.56 | Professional | TC · Technical part | $177.83 | $295.12 | $602.56 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None (both parts) | $562.34 | $562.34 | $562.34 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $151.36 Typical High $169.82 | Professional | 26 · Professional part | $151.36 | $151.36 | $169.82 |
United Setting Facility Modifier None Typical Low $229.09 Median $288.40 Typical High $524.81 | Facility | None | $229.09 | $288.40 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $436.52 Typical High $645.65 | Professional | None (both parts) | $263.03 | $436.52 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $91.20 Typical High $162.18 | Professional | 26 · Professional part | $77.62 | $91.20 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $338.84 Typical High $524.81 | Professional | TC · Technical part | $181.97 | $338.84 | $524.81 |
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 $158.49 Median $199.53 Typical High $199.53 | Professional | 52 · Reduced service | $158.49 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $79.43 Typical High $79.43 | Professional | 53 · Discontinued | $63.10 | $79.43 | $79.43 |
Where Arkansas sits
The same service costs 7.6 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· 28th of 51
$389
VT $1,288UT $170
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.