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 $27.54 Median $33.11 Typical High $46.77 | Facility | None | $27.54 | $33.11 | $46.77 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $46.77 Typical High $60.26 | Professional | None (both parts) | $27.54 | $46.77 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $14.13 Typical High $18.20 | Professional | 26 · Professional part | $8.32 | $14.13 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $33.11 Typical High $42.66 | Professional | TC · Technical part | $19.05 | $33.11 | $42.66 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.32 Typical High $9.33 | Professional | 26 · Professional part | $8.32 | $8.32 | $9.33 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $15.49 Typical High $21.38 | Professional | TC · Technical part | $15.49 | $15.49 | $21.38 |
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 $39.81 Median $39.81 Typical High $39.81 | Professional | None (both parts) | $39.81 | $39.81 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $67.61 Typical High $102.33 | Facility | None | $21.38 | $67.61 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $35.48 Typical High $48.98 | Professional | None (both parts) | $23.44 | $35.48 | $48.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $10.96 Typical High $14.79 | Professional | 26 · Professional part | $7.41 | $10.96 | $14.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $24.55 Typical High $33.88 | Professional | TC · Technical part | $18.20 | $24.55 | $33.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $7.41 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $7.41 | $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 $20.89 Median $28.84 Typical High $46.77 | Professional | None (both parts) | $20.89 | $28.84 | $46.77 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $8.91 Typical High $18.20 | Professional | 26 · Professional part | $6.61 | $8.91 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $19.95 Typical High $30.20 | Professional | TC · Technical part | $13.49 | $19.95 | $30.20 |
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 $13.80 Median $23.44 Typical High $30.20 | Professional | 52 · Reduced service | $13.80 | $23.44 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $9.55 Typical High $12.02 | Professional | 53 · Discontinued | $5.50 | $9.55 | $12.02 |
Where Mississippi sits
The same service costs 4.3 times more in Alaska than in New York. 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
$37.15
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.