How much rates vary
Facilitymedian $76 · 10th to 90th $36 to $115Professionalmedian $39 · 10th to 90th $30 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 $36.31 Median $36.31 Typical High $177.83 | Facility | None | $36.31 | $36.31 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $36.31 Typical High $48.98 | Professional | None (both parts) | $27.54 | $36.31 | $48.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $10.47 Typical High $13.49 | Professional | 26 · Professional part | $7.24 | $10.47 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $25.70 Typical High $37.15 | Professional | TC · Technical part | $20.42 | $25.70 | $37.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $37.15 Median $44.67 Typical High $52.48 | Professional | None (both parts) | $37.15 | $44.67 | $52.48 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $12.88 Typical High $14.79 | Professional | 26 · Professional part | $10.00 | $12.88 | $14.79 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $33.11 Typical High $38.90 | Professional | TC · Technical part | $24.55 | $33.11 | $38.90 |
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 $48.98 | Professional | None (both parts) | $38.90 | $38.90 | $48.98 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $10.72 Typical High $13.80 | Professional | 26 · Professional part | $10.72 | $10.72 | $13.80 |
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 $10.47 Median $30.90 Typical High $48.98 | Professional | None (both parts) | $10.47 | $30.90 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $60.26 Typical High $134.90 | Facility | None | $33.88 | $60.26 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $32.36 Typical High $58.88 | Professional | None (both parts) | $26.30 | $32.36 | $58.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $9.77 Typical High $16.22 | Professional | 26 · Professional part | $7.08 | $9.77 | $16.22 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $22.39 Typical High $43.65 | Professional | TC · Technical part | $19.05 | $22.39 | $43.65 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $36.31 Median $51.29 Typical High $61.66 | Professional | None (both parts) | $36.31 | $51.29 | $61.66 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $15.14 Typical High $22.39 | Professional | 26 · Professional part | $12.59 | $15.14 | $22.39 |
Qualchoice Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $38.02 Typical High $44.67 | Professional | TC · Technical part | $23.99 | $38.02 | $44.67 |
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 $27.54 Median $34.67 Typical High $60.26 | Professional | None (both parts) | $27.54 | $34.67 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.12 Typical High $15.85 | Professional | 26 · Professional part | $7.94 | $9.12 | $15.85 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $25.12 Typical High $44.67 | Professional | TC · Technical part | $18.62 | $25.12 | $44.67 |
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 $14.45 Median $18.20 Typical High $18.20 | Professional | 52 · Reduced service | $14.45 | $18.20 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $7.24 Typical High $7.24 | Professional | 53 · Discontinued | $5.75 | $7.24 | $7.24 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $44.67 Median $66.07 Typical High $77.62 | Professional | 50 · Both sides | $44.67 | $66.07 | $77.62 |
Qualchoice Setting Professional Modifier 50 · Both sides Typical Low $42.66 Median $75.86 Typical High $89.13 | Professional | 50 · Both sides | $42.66 | $75.86 | $89.13 |
Where Arkansas sits
The same service costs 12.9 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
$41.69
VT $347FL $26.92
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.