How much rates vary
Facilitymedian $120 · 10th to 90th $107 to $251Professionalmedian $224 · 10th to 90th $162 to $263
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 $190.55 Median $251.19 Typical High $1,000.00 | Facility | None | $190.55 | $251.19 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $223.87 Typical High $323.59 | Professional | None (both parts) | $158.49 | $223.87 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $72.44 Typical High $97.72 | Professional | 26 · Professional part | $51.29 | $72.44 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $147.91 Typical High $229.09 | Professional | TC · Technical part | $100.00 | $147.91 | $229.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $223.87 | Professional | None (both parts) | $199.53 | $199.53 | $223.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $81.28 | Professional | 26 · Professional part | $75.86 | $75.86 | $81.28 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $162.18 | Professional | TC · Technical part | $123.03 | $123.03 | $162.18 |
BCBS Arkansas Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $147.91 | Facility | None | $107.15 | $107.15 | $147.91 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $251.19 | Professional | None (both parts) | $194.98 | $194.98 | $251.19 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $75.86 | Professional | 26 · Professional part | $58.88 | $58.88 | $75.86 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $177.83 | Professional | TC · Technical part | $138.04 | $138.04 | $177.83 |
CareSource Setting Professional Modifier None (both parts) Typical Low $61.66 Median $102.33 Typical High $190.55 | Professional | None (both parts) | $61.66 | $102.33 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $169.82 Typical High $288.40 | Facility | None | $48.98 | $169.82 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $190.55 Typical High $363.08 | Professional | None (both parts) | $131.83 | $190.55 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $52.48 Typical High $104.71 | Professional | 26 · Professional part | $40.74 | $52.48 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $117.49 Typical High $275.42 | Professional | TC · Technical part | $85.11 | $117.49 | $275.42 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $257.04 | Professional | None (both parts) | $229.09 | $229.09 | $257.04 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $97.72 | Professional | 26 · Professional part | $87.10 | $87.10 | $97.72 |
Qualchoice Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $154.88 | Professional | TC · Technical part | $144.54 | $144.54 | $154.88 |
United Setting Facility Modifier None Typical Low $138.04 Median $169.82 Typical High $309.03 | Facility | None | $138.04 | $169.82 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $234.42 Typical High $363.08 | Professional | None (both parts) | $138.04 | $234.42 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $54.95 Typical High $95.50 | Professional | 26 · Professional part | $45.71 | $54.95 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $154.88 Typical High $281.84 | Professional | TC · Technical part | $91.20 | $154.88 | $281.84 |
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 $83.18 Median $109.65 Typical High $141.25 | Professional | 52 · Reduced service | $83.18 | $109.65 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $44.67 Typical High $56.23 | Professional | 53 · Discontinued | $33.88 | $44.67 | $56.23 |
Where Arkansas sits
The same service costs 5.8 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· 27th of 51
$214
VT $603UT $105
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.