How much rates vary
Facilitymedian $76 · 10th to 90th $37 to $107Professionalmedian $42 · 10th to 90th $32 to $58
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 $36.31 Median $37.15 Typical High $42.66 | Facility | None | $36.31 | $37.15 | $42.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $37.15 Typical High $54.95 | Professional | None (both parts) | $28.84 | $37.15 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $10.96 Typical High $14.79 | Professional | 26 · Professional part | $7.41 | $10.96 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $26.30 Typical High $38.90 | Professional | TC · Technical part | $21.88 | $26.30 | $38.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $40.74 Median $48.98 Typical High $60.26 | Professional | None (both parts) | $40.74 | $48.98 | $60.26 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $14.13 Typical High $15.14 | Professional | 26 · Professional part | $9.12 | $14.13 | $15.14 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $37.15 Typical High $43.65 | Professional | TC · Technical part | $19.95 | $37.15 | $43.65 |
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 $38.90 Median $38.90 Typical High $50.12 | Professional | None (both parts) | $38.90 | $38.90 | $50.12 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $14.13 | Professional | 26 · Professional part | $10.96 | $10.96 | $14.13 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $27.54 Typical High $35.48 | Professional | TC · Technical part | $27.54 | $27.54 | $35.48 |
CareSource Setting Professional Modifier None (both parts) Typical Low $10.96 Median $33.88 Typical High $53.70 | Professional | None (both parts) | $10.96 | $33.88 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $60.26 Typical High $134.90 | Facility | None | $38.02 | $60.26 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $33.11 Typical High $61.66 | Professional | None (both parts) | $27.54 | $33.11 | $61.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $9.33 Typical High $16.98 | Professional | 26 · Professional part | $7.41 | $9.33 | $16.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $23.44 Typical High $44.67 | Professional | TC · Technical part | $19.95 | $23.44 | $44.67 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $46.77 Median $56.23 Typical High $69.18 | Professional | None (both parts) | $46.77 | $56.23 | $69.18 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $15.85 Typical High $17.38 | Professional | 26 · Professional part | $10.96 | $15.85 | $17.38 |
Qualchoice Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $38.02 Typical High $50.12 | Professional | TC · Technical part | $22.91 | $38.02 | $50.12 |
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 $28.84 Median $35.48 Typical High $63.10 | Professional | None (both parts) | $28.84 | $35.48 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.77 Typical High $16.60 | Professional | 26 · Professional part | $8.13 | $9.77 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $26.30 Typical High $47.86 | Professional | TC · Technical part | $20.42 | $26.30 | $47.86 |
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 $15.14 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $15.14 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $7.41 Typical High $7.41 | Professional | 53 · Discontinued | $6.17 | $7.41 | $7.41 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $46.77 Median $74.13 Typical High $87.10 | Professional | 50 · Both sides | $46.77 | $74.13 | $87.10 |
Qualchoice Setting Professional Modifier 50 · Both sides Typical Low $37.15 Median $85.11 Typical High $100.00 | Professional | 50 · Both sides | $37.15 | $85.11 | $100.00 |
Where Arkansas sits
The same service costs 13.5 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
$45.71
VT $389FL $28.84
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.