How much rates vary
Facilitymedian $107 · 10th to 90th $42 to $148Professionalmedian $46 · 10th to 90th $35 to $62
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 $38.90 Median $41.69 Typical High $223.87 | Facility | None | $38.90 | $41.69 | $223.87 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.92 Median $26.92 Typical High $32.36 | Facility | TC · Technical part | $26.92 | $26.92 | $32.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $41.69 Typical High $58.88 | Professional | None (both parts) | $34.67 | $41.69 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $14.13 Typical High $17.78 | Professional | 26 · Professional part | $10.00 | $14.13 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $26.92 Typical High $41.69 | Professional | TC · Technical part | $24.55 | $26.92 | $41.69 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $38.02 Median $52.48 Typical High $61.66 | Professional | None (both parts) | $38.02 | $52.48 | $61.66 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.79 Typical High $18.20 | Professional | 26 · Professional part | $14.45 | $14.79 | $18.20 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $37.15 Typical High $43.65 | Professional | TC · Technical part | $29.51 | $37.15 | $43.65 |
BCBS Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $147.91 | Facility | None | $107.15 | $107.15 | $147.91 |
BCBS Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $54.95 | Professional | None (both parts) | $42.66 | $42.66 | $54.95 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $14.13 Typical High $18.20 | Professional | 26 · Professional part | $14.13 | $14.13 | $18.20 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $36.31 | Professional | TC · Technical part | $28.84 | $28.84 | $36.31 |
CareSource Setting Professional Modifier None (both parts) Typical Low $13.80 Median $34.67 Typical High $57.54 | Professional | None (both parts) | $13.80 | $34.67 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $60.26 Typical High $181.97 | Facility | None | $38.02 | $60.26 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $40.74 Typical High $70.79 | Professional | None (both parts) | $32.36 | $40.74 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $12.30 Typical High $21.88 | Professional | 26 · Professional part | $9.33 | $12.30 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $26.92 Typical High $46.77 | Professional | TC · Technical part | $22.39 | $26.92 | $46.77 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $42.66 Median $60.26 Typical High $70.79 | Professional | None (both parts) | $42.66 | $60.26 | $70.79 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $19.95 Typical High $21.38 | Professional | 26 · Professional part | $14.13 | $19.95 | $21.38 |
Qualchoice Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $42.66 Typical High $50.12 | Professional | TC · Technical part | $28.84 | $42.66 | $50.12 |
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 $33.88 Median $39.81 Typical High $69.18 | Professional | None (both parts) | $33.88 | $39.81 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.02 Typical High $21.38 | Professional | 26 · Professional part | $10.47 | $12.02 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $28.18 Typical High $50.12 | Professional | TC · Technical part | $22.91 | $28.18 | $50.12 |
6 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 $17.38 Median $20.42 Typical High $20.42 | Professional | 52 · Reduced service | $17.38 | $20.42 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $8.32 Typical High $8.32 | Professional | 53 · Discontinued | $6.92 | $8.32 | $8.32 |
Ambetter Setting Professional Modifier KX · Policy requirements met Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | KX · Policy requirements met | $61.66 | $61.66 | $61.66 |
Ambetter Setting Professional Modifier XS · Separate structure Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | XS · Separate structure | $61.66 | $61.66 | $61.66 |
Qualchoice Setting Professional Modifier KX · Policy requirements met Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | KX · Policy requirements met | $70.79 | $70.79 | $70.79 |
Qualchoice Setting Professional Modifier XS · Separate structure Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | XS · Separate structure | $70.79 | $70.79 | $70.79 |
Where Arkansas sits
The same service costs 12.6 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· 21st of 51
$48.98
VT $389FL $30.90
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.