How much rates vary
Facilitymedian $251 · 10th to 90th $224 to $631Professionalmedian $331 · 10th to 90th $219 to $490
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 $338.84 Median $371.54 Typical High $1,445.44 | Facility | None | $338.84 | $371.54 | $1,445.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $371.54 Typical High $549.54 | Professional | None (both parts) | $251.19 | $371.54 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $112.20 Typical High $141.25 | Professional | 26 · Professional part | $77.62 | $112.20 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $257.04 Typical High $436.52 | Professional | TC · Technical part | $169.82 | $257.04 | $436.52 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $295.12 Median $316.23 Typical High $316.23 | Professional | None (both parts) | $295.12 | $316.23 | $316.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $102.33 Typical High $109.65 | Professional | 26 · Professional part | $100.00 | $102.33 | $109.65 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $208.93 Typical High $223.87 | Professional | TC · Technical part | $208.93 | $208.93 | $223.87 |
BCBS Arkansas Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $309.03 | Facility | None | $223.87 | $223.87 | $309.03 |
BCBS Arkansas Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $331.13 | Professional | None (both parts) | $257.04 | $257.04 | $331.13 |
BCBS Arkansas Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $102.33 | Professional | 26 · Professional part | $79.43 | $79.43 | $102.33 |
BCBS Arkansas Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $223.87 | Professional | TC · Technical part | $173.78 | $173.78 | $223.87 |
CareSource Setting Professional Modifier None (both parts) Typical Low $83.18 Median $169.82 Typical High $302.00 | Professional | None (both parts) | $83.18 | $169.82 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $288.40 Typical High $630.96 | Facility | None | $114.82 | $288.40 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $281.84 Typical High $724.44 | Professional | None (both parts) | $186.21 | $281.84 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $67.61 Typical High $144.54 | Professional | 26 · Professional part | $54.95 | $67.61 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $190.55 Typical High $575.44 | Professional | TC · Technical part | $134.90 | $190.55 | $575.44 |
Qualchoice Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $416.87 | Professional | None (both parts) | $363.08 | $363.08 | $416.87 |
Qualchoice Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $138.04 | Professional | 26 · Professional part | $117.49 | $117.49 | $138.04 |
Qualchoice Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $239.88 Typical High $275.42 | Professional | TC · Technical part | $239.88 | $239.88 | $275.42 |
United Setting Facility Modifier None Typical Low $316.23 Median $389.05 Typical High $707.95 | Facility | None | $316.23 | $389.05 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $389.05 Typical High $691.83 | Professional | None (both parts) | $199.53 | $389.05 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $74.13 Typical High $125.89 | Professional | 26 · Professional part | $58.88 | $74.13 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $245.47 Typical High $549.54 | Professional | TC · Technical part | $141.25 | $245.47 | $549.54 |
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 $165.96 Median $181.97 Typical High $208.93 | Professional | 52 · Reduced service | $165.96 | $181.97 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $74.13 Typical High $83.18 | Professional | 53 · Discontinued | $66.07 | $74.13 | $83.18 |
Where Arkansas sits
The same service costs 13.5 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· 35th of 51
$324
VT $2,089UT $155
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.