How much rates vary
Facilitymedian $76 · 10th to 90th $49 to $117Professionalmedian $59 · 10th to 90th $41 to $74
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 $34.67 Median $48.98 Typical High $70.79 | Facility | None | $34.67 | $48.98 | $70.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $48.98 Typical High $74.13 | Professional | None (both parts) | $38.02 | $48.98 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $14.13 Typical High $16.98 | Professional | 26 · Professional part | $10.00 | $14.13 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $34.67 Typical High $53.70 | Professional | TC · Technical part | $28.18 | $34.67 | $53.70 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $52.48 Median $63.10 Typical High $74.13 | Professional | None (both parts) | $52.48 | $63.10 | $74.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $17.38 Typical High $18.20 | Professional | 26 · Professional part | $11.75 | $17.38 | $18.20 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $46.77 Typical High $56.23 | Professional | TC · Technical part | $25.70 | $46.77 | $56.23 |
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 $45.71 Median $45.71 Typical High $58.88 | Professional | None (both parts) | $45.71 | $45.71 | $58.88 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $16.60 | Professional | 26 · Professional part | $12.88 | $12.88 | $16.60 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $32.36 Typical High $41.69 | Professional | TC · Technical part | $32.36 | $32.36 | $41.69 |
CareSource Setting Professional Modifier None (both parts) Typical Low $13.80 Median $43.65 Typical High $69.18 | Professional | None (both parts) | $13.80 | $43.65 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $107.15 Typical High $162.18 | Facility | None | $47.86 | $107.15 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $41.69 Typical High $81.28 | Professional | None (both parts) | $37.15 | $41.69 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $12.02 Typical High $21.88 | Professional | 26 · Professional part | $9.12 | $12.02 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $31.62 Typical High $58.88 | Professional | TC · Technical part | $26.92 | $31.62 | $58.88 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $60.26 Median $72.44 Typical High $85.11 | Professional | None (both parts) | $60.26 | $72.44 | $85.11 |
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 $37.15 Median $54.95 Typical High $64.57 | Professional | TC · Technical part | $37.15 | $54.95 | $64.57 |
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 $38.90 Median $46.77 Typical High $83.18 | Professional | None (both parts) | $38.90 | $46.77 | $83.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.59 Typical High $21.38 | Professional | 26 · Professional part | $10.23 | $12.59 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $34.67 Typical High $63.10 | Professional | TC · Technical part | $27.54 | $34.67 | $63.10 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 59 · Distinct service | $64.57 | $64.57 | $64.57 |
Where Arkansas sits
The same service costs 11.7 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· 19th of 51
$58.88
VT $389UT $33.11
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.