How much rates vary
Facilitymedian $95 · 10th to 90th $69 to $115Professionalmedian $41 · 10th to 90th $26 to $56
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 $30.20 Median $33.11 Typical High $56.23 | Facility | None | $30.20 | $33.11 | $56.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $56.23 Typical High $72.44 | Professional | None (both parts) | $33.11 | $56.23 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $13.49 Typical High $17.38 | Professional | 26 · Professional part | $7.94 | $13.49 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $42.66 Typical High $54.95 | Professional | TC · Technical part | $25.12 | $42.66 | $54.95 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $28.18 Median $28.18 Typical High $33.11 | Professional | None (both parts) | $28.18 | $28.18 | $33.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $7.94 Typical High $8.91 | Professional | 26 · Professional part | $7.94 | $7.94 | $8.91 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $23.99 Typical High $28.18 | Professional | TC · Technical part | $23.99 | $23.99 | $28.18 |
BCBS Mississippi Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $104.71 | Facility | None | $95.50 | $95.50 | $104.71 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None (both parts) | $46.77 | $46.77 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $67.61 Typical High $102.33 | Facility | None | $26.92 | $67.61 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $41.69 Typical High $54.95 | Professional | None (both parts) | $27.54 | $41.69 | $54.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $11.48 Typical High $15.14 | Professional | 26 · Professional part | $6.92 | $11.48 | $15.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $30.20 Typical High $40.74 | Professional | TC · Technical part | $22.39 | $30.20 | $40.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $7.08 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $7.08 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $109.65 Median $158.49 Typical High $177.83 | Facility | None | $109.65 | $158.49 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $24.55 Median $33.88 Typical High $53.70 | Professional | None (both parts) | $24.55 | $33.88 | $53.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.51 Typical High $18.20 | Professional | 26 · Professional part | $6.76 | $8.51 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $25.70 Typical High $37.15 | Professional | TC · Technical part | $16.60 | $25.70 | $37.15 |
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 $16.60 Median $28.18 Typical High $36.31 | Professional | 52 · Reduced service | $16.60 | $28.18 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $11.22 Typical High $14.45 | Professional | 53 · Discontinued | $6.61 | $11.22 | $14.45 |
Where Mississippi sits
The same service costs 3.9 times more in Alaska 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.
Mississippi· 28th of 51
$41.69
AK $112FL $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.