How much rates vary
Facilitymedian $76 · 10th to 90th $33 to $107Professionalmedian $38 · 10th to 90th $28 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 $33.11 Typical High $37.15 | Facility | None | $22.39 | $33.11 | $37.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $33.11 Typical High $47.86 | Professional | None (both parts) | $25.70 | $33.11 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $10.47 Typical High $13.18 | Professional | 26 · Professional part | $7.08 | $10.47 | $13.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $22.39 Typical High $33.11 | Professional | TC · Technical part | $18.62 | $22.39 | $33.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $42.66 Median $50.12 Typical High $50.12 | Professional | None (both parts) | $42.66 | $50.12 | $50.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $13.80 | Professional | 26 · Professional part | $12.88 | $12.88 | $13.80 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $31.62 Typical High $37.15 | Professional | TC · Technical part | $24.55 | $31.62 | $37.15 |
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 $33.88 Median $33.88 Typical High $43.65 | Professional | None (both parts) | $33.88 | $33.88 | $43.65 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $10.47 Typical High $13.49 | Professional | 26 · Professional part | $10.47 | $10.47 | $13.49 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $23.44 Typical High $30.20 | Professional | TC · Technical part | $23.44 | $23.44 | $30.20 |
CareSource Setting Professional Modifier None (both parts) Typical Low $10.47 Median $29.51 Typical High $46.77 | Professional | None (both parts) | $10.47 | $29.51 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $60.26 Typical High $134.90 | Facility | None | $32.36 | $60.26 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $30.90 Typical High $56.23 | Professional | None (both parts) | $25.12 | $30.90 | $56.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.91 Typical High $16.22 | Professional | 26 · Professional part | $7.08 | $8.91 | $16.22 |
Cigna 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 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $14.45 Median $48.98 Typical High $57.54 | Professional | None (both parts) | $14.45 | $48.98 | $57.54 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $15.14 Typical High $15.49 | Professional | 26 · Professional part | $12.88 | $15.14 | $15.49 |
Qualchoice Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $36.31 Typical High $42.66 | Professional | TC · Technical part | $28.18 | $36.31 | $42.66 |
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 $26.30 Median $32.36 Typical High $56.23 | Professional | None (both parts) | $26.30 | $32.36 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.12 Typical High $15.85 | Professional | 26 · Professional part | $7.59 | $9.12 | $15.85 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $23.44 Typical High $41.69 | Professional | TC · Technical part | $18.20 | $23.44 | $41.69 |
4 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 $13.49 Median $16.60 Typical High $16.60 | Professional | 52 · Reduced service | $13.49 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $6.61 Typical High $6.61 | Professional | 53 · Discontinued | $5.37 | $6.61 | $6.61 |
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 |
Qualchoice Setting Professional Modifier 59 · Distinct service Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | 59 · Distinct service | $57.54 | $57.54 | $57.54 |
Where Arkansas sits
The same service costs 6.0 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· 19th of 51
$41.69
VT $155FL $25.70
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.