How much rates vary
Facilitymedian $95 · 10th to 90th $68 to $115Professionalmedian $35 · 10th to 90th $21 to $49
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 $25.70 Median $28.84 Typical High $66.07 | Facility | None | $25.70 | $28.84 | $66.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $48.98 Typical High $63.10 | Professional | None (both parts) | $28.84 | $48.98 | $63.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $12.88 Typical High $16.60 | Professional | 26 · Professional part | $7.59 | $12.88 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $36.31 Typical High $45.71 | Professional | TC · Technical part | $20.89 | $36.31 | $45.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $21.38 Median $26.92 Typical High $34.67 | Professional | None (both parts) | $21.38 | $26.92 | $34.67 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.59 Typical High $9.33 | Professional | 26 · Professional part | $6.76 | $7.59 | $9.33 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $21.88 Typical High $24.55 | Professional | TC · Technical part | $20.89 | $21.88 | $24.55 |
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 $41.69 Median $41.69 Typical High $41.69 | Professional | None (both parts) | $41.69 | $41.69 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $67.61 Typical High $102.33 | Facility | None | $22.39 | $67.61 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $35.48 Typical High $46.77 | Professional | None (both parts) | $24.55 | $35.48 | $46.77 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $10.96 Typical High $14.45 | Professional | 26 · Professional part | $6.92 | $10.96 | $14.45 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $24.55 Typical High $32.36 | Professional | TC · Technical part | $18.20 | $24.55 | $32.36 |
Molina Setting Professional Modifier None (both parts) Typical Low $6.92 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $6.92 | $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 $29.51 Typical High $52.48 | Professional | None (both parts) | $20.89 | $29.51 | $52.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $8.32 Typical High $16.60 | Professional | 26 · Professional part | $6.46 | $8.32 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $21.38 Typical High $35.48 | Professional | TC · Technical part | $14.45 | $21.38 | $35.48 |
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 $14.13 Median $24.55 Typical High $31.62 | Professional | 52 · Reduced service | $14.13 | $24.55 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $9.77 Typical High $12.59 | Professional | 53 · Discontinued | $5.75 | $9.77 | $12.59 |
Where Mississippi sits
The same service costs 6.0 times more in Vermont 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· 31st of 51
$35.48
VT $155FL $25.70
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.