How much rates vary
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 $46.77 Median $46.77 Typical High $79.43 | Facility | None | $46.77 | $46.77 | $79.43 |
Aetna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $79.43 Typical High $102.33 | Professional | None (both parts) | $46.77 | $79.43 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $18.62 Typical High $23.44 | Professional | 26 · Professional part | $10.72 | $18.62 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $60.26 Typical High $77.62 | Professional | TC · Technical part | $35.48 | $60.26 | $77.62 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | None (both parts) | $31.62 | $31.62 | $31.62 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 26 · Professional part | $10.72 | $10.72 | $10.72 |
BCBS Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $104.71 | Facility | None | $95.50 | $95.50 | $104.71 |
BCBS Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $70.79 | $70.79 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $67.61 Typical High $102.33 | Facility | None | $40.74 | $67.61 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $60.26 Typical High $79.43 | Professional | None (both parts) | $41.69 | $60.26 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $16.60 Typical High $21.38 | Professional | 26 · Professional part | $9.77 | $16.60 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $43.65 Typical High $58.88 | Professional | TC · Technical part | $32.36 | $43.65 | $58.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $9.77 Median $33.11 Typical High $40.74 | Professional | None (both parts) | $9.77 | $33.11 | $40.74 |
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 $35.48 Median $48.98 Typical High $83.18 | Professional | None (both parts) | $35.48 | $48.98 | $83.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.02 Typical High $25.12 | Professional | 26 · Professional part | $9.77 | $12.02 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $37.15 Typical High $58.88 | Professional | TC · Technical part | $24.55 | $37.15 | $58.88 |
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 $22.91 Median $39.81 Typical High $51.29 | Professional | 52 · Reduced service | $22.91 | $39.81 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $15.85 Typical High $20.42 | Professional | 53 · Discontinued | $9.33 | $15.85 | $20.42 |
Where Mississippi sits
The same service costs 4.5 times more in Alaska 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.
Mississippi· 25th of 51
$60.26
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.