How much rates vary
Facilitymedian $407 · 10th to 90th $363 to $708Professionalmedian $525 · 10th to 90th $339 to $724
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 $588.84 Median $588.84 Typical High $1,445.44 | Facility | None | $588.84 | $588.84 | $1,445.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $588.84 Typical High $707.95 | Professional | None (both parts) | $389.05 | $588.84 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $190.55 Typical High $204.17 | Professional | 26 · Professional part | $123.03 | $190.55 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $398.11 Typical High $478.63 | Professional | TC · Technical part | $251.19 | $398.11 | $478.63 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $478.63 Median $489.78 Typical High $489.78 | Professional | None (both parts) | $478.63 | $489.78 | $489.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $173.78 Typical High $186.21 | Professional | 26 · Professional part | $169.82 | $173.78 | $186.21 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $316.23 Typical High $446.68 | Professional | TC · Technical part | $316.23 | $316.23 | $446.68 |
BCBS Arkansas Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $501.19 | Facility | None | $363.08 | $363.08 | $501.19 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $524.81 | Professional | None (both parts) | $407.38 | $407.38 | $524.81 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $134.90 Typical High $173.78 | Professional | 26 · Professional part | $134.90 | $134.90 | $173.78 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $346.74 | Professional | TC · Technical part | $275.42 | $275.42 | $346.74 |
CareSource Setting Professional Modifier None (both parts) Typical Low $141.25 Median $257.04 Typical High $467.74 | Professional | None (both parts) | $141.25 | $257.04 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $426.58 Typical High $1,096.48 | Facility | None | $165.96 | $426.58 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $446.68 Typical High $1,258.93 | Professional | None (both parts) | $288.40 | $446.68 | $1,258.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $117.49 Typical High $239.88 | Professional | 26 · Professional part | $93.33 | $117.49 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $295.12 Typical High $1,047.13 | Professional | TC · Technical part | $199.53 | $295.12 | $1,047.13 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $616.60 | Professional | None (both parts) | $562.34 | $562.34 | $616.60 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $199.53 Typical High $229.09 | Professional | 26 · Professional part | $199.53 | $199.53 | $229.09 |
Qualchoice Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $363.08 Typical High $512.86 | Professional | TC · Technical part | $363.08 | $363.08 | $512.86 |
United Setting Facility Modifier None Typical Low $457.09 Median $575.44 Typical High $1,047.13 | Facility | None | $457.09 | $575.44 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $616.60 Typical High $1,318.26 | Professional | None (both parts) | $323.59 | $616.60 | $1,318.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $125.89 Typical High $213.80 | Professional | 26 · Professional part | $100.00 | $125.89 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $398.11 Typical High $1,096.48 | Professional | TC · Technical part | $218.78 | $398.11 | $1,096.48 |
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 $239.88 Median $295.12 Typical High $295.12 | Professional | 52 · Reduced service | $239.88 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $117.49 Typical High $117.49 | Professional | 53 · Discontinued | $95.50 | $117.49 | $117.49 |
Where Arkansas sits
The same service costs 6.6 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· 30th of 51
$501
VT $1,349UT $204
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.