How much rates vary
Facilitymedian $195 · 10th to 90th $174 to $468Professionalmedian $407 · 10th to 90th $309 to $537
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 $407.38 Median $467.74 Typical High $1,000.00 | Facility | None | $407.38 | $467.74 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $407.38 Typical High $575.44 | Professional | None (both parts) | $302.00 | $407.38 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $131.83 Typical High $158.49 | Professional | 26 · Professional part | $87.10 | $131.83 | $158.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $275.42 Typical High $389.05 | Professional | TC · Technical part | $208.93 | $275.42 | $389.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $436.52 Median $457.09 Typical High $457.09 | Professional | None (both parts) | $436.52 | $457.09 | $457.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $134.90 Typical High $147.91 | Professional | 26 · Professional part | $134.90 | $134.90 | $147.91 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $316.23 | Professional | TC · Technical part | $144.54 | $144.54 | $316.23 |
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 $354.81 Median $354.81 Typical High $457.09 | Professional | None (both parts) | $354.81 | $354.81 | $457.09 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $147.91 | Professional | 26 · Professional part | $114.82 | $114.82 | $147.91 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $239.88 Typical High $309.03 | Professional | TC · Technical part | $239.88 | $239.88 | $309.03 |
CareSource Setting Professional Modifier None (both parts) Typical Low $112.20 Median $239.88 Typical High $416.87 | Professional | None (both parts) | $112.20 | $239.88 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $338.84 Typical High $602.56 | Facility | None | $83.18 | $338.84 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $354.81 Typical High $660.69 | Professional | None (both parts) | $263.03 | $354.81 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $89.13 Typical High $169.82 | Professional | 26 · Professional part | $74.13 | $89.13 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $229.09 Typical High $524.81 | Professional | TC · Technical part | $177.83 | $229.09 | $524.81 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $234.42 Median $537.03 Typical High $537.03 | Professional | None (both parts) | $234.42 | $537.03 | $537.03 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $158.49 Typical High $173.78 | Professional | 26 · Professional part | $154.88 | $158.49 | $173.78 |
Qualchoice Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $371.54 | Professional | TC · Technical part | $169.82 | $169.82 | $371.54 |
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 $269.15 Median $457.09 Typical High $707.95 | Professional | None (both parts) | $269.15 | $457.09 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $95.50 Typical High $169.82 | Professional | 26 · Professional part | $83.18 | $95.50 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $309.03 Typical High $588.84 | Professional | TC · Technical part | $186.21 | $309.03 | $588.84 |
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 $204.17 Typical High $204.17 | Professional | 52 · Reduced service | $158.49 | $204.17 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $81.28 Typical High $81.28 | Professional | 53 · Discontinued | $63.10 | $81.28 | $81.28 |
Where Arkansas sits
The same service costs 12.3 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
$407
VT $2,089UT $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.