How much rates vary
Facilitymedian $120 · 10th to 90th $107 to $269Professionalmedian $224 · 10th to 90th $155 to $282
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 $223.87 Median $257.04 Typical High $912.01 | Facility | None | $223.87 | $257.04 | $912.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $223.87 Typical High $323.59 | Professional | None (both parts) | $154.88 | $223.87 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $85.11 Typical High $97.72 | Professional | 26 · Professional part | $52.48 | $85.11 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $138.04 Typical High $239.88 | Professional | TC · Technical part | $95.50 | $138.04 | $239.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $204.17 | $204.17 | $204.17 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $81.28 Typical High $87.10 | Professional | 26 · Professional part | $75.86 | $81.28 | $87.10 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $199.53 | Professional | TC · Technical part | $123.03 | $123.03 | $199.53 |
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 $173.78 Median $173.78 Typical High $223.87 | Professional | None (both parts) | $173.78 | $173.78 | $223.87 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $87.10 | Professional | 26 · Professional part | $69.18 | $69.18 | $87.10 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $138.04 | Professional | TC · Technical part | $107.15 | $107.15 | $138.04 |
CareSource Setting Professional Modifier None (both parts) Typical Low $66.07 Median $102.33 Typical High $194.98 | Professional | None (both parts) | $66.07 | $102.33 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $169.82 Typical High $309.03 | Facility | None | $48.98 | $169.82 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $190.55 Typical High $426.58 | Professional | None (both parts) | $134.90 | $190.55 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $57.54 Typical High $114.82 | Professional | 26 · Professional part | $43.65 | $57.54 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $117.49 Typical High $323.59 | Professional | TC · Technical part | $83.18 | $117.49 | $323.59 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $263.03 | Professional | None (both parts) | $234.42 | $234.42 | $263.03 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $93.33 Typical High $104.71 | Professional | 26 · Professional part | $91.20 | $93.33 | $104.71 |
Qualchoice Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $229.09 | Professional | TC · Technical part | $141.25 | $141.25 | $229.09 |
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 $141.25 Median $245.47 Typical High $389.05 | Professional | None (both parts) | $141.25 | $245.47 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $61.66 Typical High $104.71 | Professional | 26 · Professional part | $51.29 | $61.66 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $151.36 Typical High $288.40 | Professional | TC · Technical part | $87.10 | $151.36 | $288.40 |
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 $85.11 Median $112.20 Typical High $151.36 | Professional | 52 · Reduced service | $85.11 | $112.20 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $44.67 Typical High $60.26 | Professional | 53 · Discontinued | $33.88 | $44.67 | $60.26 |
Where Arkansas sits
The same service costs 6.2 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· 26th of 51
$214
VT $617UT $100
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.