How much rates vary
Facilitymedian $251 · 10th to 90th $224 to $501Professionalmedian $309 · 10th to 90th $209 to $468
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 $316.23 Median $346.74 Typical High $1,445.44 | Facility | None | $316.23 | $346.74 | $1,445.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $346.74 Typical High $549.54 | Professional | None (both parts) | $234.42 | $346.74 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $123.03 Typical High $144.54 | Professional | 26 · Professional part | $85.11 | $123.03 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $229.09 Typical High $436.52 | Professional | TC · Technical part | $147.91 | $229.09 | $436.52 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $251.19 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $251.19 | $295.12 | $295.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $120.23 | Professional | 26 · Professional part | $112.20 | $112.20 | $120.23 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $194.98 | Professional | TC · Technical part | $181.97 | $181.97 | $194.98 |
BCBS Arkansas Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $309.03 | Facility | None | $223.87 | $223.87 | $309.03 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $309.03 | Professional | None (both parts) | $245.47 | $245.47 | $309.03 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $112.20 | Professional | 26 · Professional part | $87.10 | $87.10 | $112.20 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $199.53 | Professional | TC · Technical part | $154.88 | $154.88 | $199.53 |
CareSource Setting Professional Modifier None (both parts) Typical Low $91.20 Median $147.91 Typical High $281.84 | Professional | None (both parts) | $91.20 | $147.91 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $251.19 Typical High $630.96 | Facility | None | $107.15 | $251.19 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $263.03 Typical High $812.83 | Professional | None (both parts) | $181.97 | $263.03 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $74.13 Typical High $158.49 | Professional | 26 · Professional part | $60.26 | $74.13 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $169.82 Typical High $660.69 | Professional | TC · Technical part | $123.03 | $169.82 | $660.69 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $288.40 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $288.40 | $338.84 | $338.84 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $147.91 | Professional | 26 · Professional part | $128.82 | $128.82 | $147.91 |
Qualchoice Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $208.93 Typical High $218.78 | Professional | TC · Technical part | $208.93 | $208.93 | $218.78 |
United Setting Facility Modifier None Typical Low $316.23 Median $389.05 Typical High $707.95 | Facility | None | $316.23 | $389.05 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $371.54 Typical High $724.44 | Professional | None (both parts) | $190.55 | $371.54 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $81.28 Typical High $138.04 | Professional | 26 · Professional part | $64.57 | $81.28 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $229.09 Typical High $602.56 | Professional | TC · Technical part | $123.03 | $229.09 | $602.56 |
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 $173.78 Typical High $199.53 | Professional | 52 · Reduced service | $158.49 | $173.78 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $69.18 Typical High $79.43 | Professional | 53 · Discontinued | $63.10 | $69.18 | $79.43 |
Where Arkansas sits
The same service costs 24.0 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· 33rd of 51
$309
VT $2,951UT $123
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.