How much rates vary
Facilitymedian $76 · 10th to 90th $36 to $115Professionalmedian $40 · 10th to 90th $30 to $52
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 $22.39 Median $36.31 Typical High $47.86 | Facility | None | $22.39 | $36.31 | $47.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $36.31 Typical High $52.48 | Professional | None (both parts) | $27.54 | $36.31 | $52.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $13.80 Typical High $16.60 | Professional | 26 · Professional part | $9.55 | $13.80 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $22.39 Typical High $34.67 | Professional | TC · Technical part | $18.20 | $22.39 | $34.67 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $38.90 Median $42.66 Typical High $50.12 | Professional | None (both parts) | $38.90 | $42.66 | $50.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $14.45 Typical High $16.98 | Professional | 26 · Professional part | $12.02 | $14.45 | $16.98 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $30.20 Typical High $33.88 | Professional | TC · Technical part | $24.55 | $30.20 | $33.88 |
BCBS Arkansas Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $104.71 | Facility | None | $75.86 | $75.86 | $104.71 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $44.67 | Professional | None (both parts) | $34.67 | $34.67 | $44.67 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $16.60 | Professional | 26 · Professional part | $12.88 | $12.88 | $16.60 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $21.88 Typical High $28.18 | Professional | TC · Technical part | $21.88 | $21.88 | $28.18 |
CareSource Setting Professional Modifier None (both parts) Typical Low $13.49 Median $28.18 Typical High $48.98 | Professional | None (both parts) | $13.49 | $28.18 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $107.15 Typical High $162.18 | Facility | None | $30.20 | $107.15 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $30.20 Typical High $58.88 | Professional | None (both parts) | $27.54 | $30.20 | $58.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $11.48 Typical High $21.38 | Professional | 26 · Professional part | $8.91 | $11.48 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $18.62 Typical High $39.81 | Professional | TC · Technical part | $16.98 | $18.62 | $39.81 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $44.67 Median $48.98 Typical High $58.88 | Professional | None (both parts) | $44.67 | $48.98 | $58.88 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.60 Typical High $19.50 | Professional | 26 · Professional part | $13.80 | $16.60 | $19.50 |
Qualchoice Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $34.67 Typical High $38.90 | Professional | TC · Technical part | $23.99 | $34.67 | $38.90 |
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 $28.84 Median $34.67 Typical High $58.88 | Professional | None (both parts) | $28.84 | $34.67 | $58.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.30 Typical High $20.42 | Professional | 26 · Professional part | $10.00 | $12.30 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $21.88 Typical High $39.81 | Professional | TC · Technical part | $17.78 | $21.88 | $39.81 |
5 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 59 · Distinct service | $50.12 | $50.12 | $50.12 |
Ambetter Setting Professional Modifier FX · Film X-ray Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | FX · Film X-ray | $50.12 | $50.12 | $50.12 |
Ambetter Setting Professional Modifier GA · Liability notice issued Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | GA · Liability notice issued | $42.66 | $42.66 | $42.66 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | GC · Resident with teaching physician | $50.12 | $50.12 | $50.12 |
Qualchoice Setting Professional Modifier GC · Resident with teaching physician Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | GC · Resident with teaching physician | $57.54 | $57.54 | $57.54 |
Where Arkansas sits
The same service costs 17.0 times more in Vermont 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· 23rd of 51
$40.74
VT $447FL $26.30
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.