How much rates vary
Facilitymedian $95 · 10th to 90th $37 to $115Professionalmedian $32 · 10th to 90th $23 to $52
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 $37.15 Typical High $70.79 | Facility | None | $30.20 | $37.15 | $70.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $52.48 Typical High $66.07 | Professional | None (both parts) | $30.20 | $52.48 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $14.79 Typical High $18.62 | Professional | 26 · Professional part | $8.51 | $14.79 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $37.15 Typical High $47.86 | Professional | TC · Technical part | $21.88 | $37.15 | $47.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $21.38 Median $26.92 Typical High $36.31 | Professional | None (both parts) | $21.38 | $26.92 | $36.31 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $8.51 Typical High $12.02 | Professional | 26 · Professional part | $6.17 | $8.51 | $12.02 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $22.91 Typical High $29.51 | Professional | TC · Technical part | $19.50 | $22.91 | $29.51 |
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 $45.71 Median $45.71 Typical High $45.71 | Professional | None (both parts) | $45.71 | $45.71 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $23.99 Median $67.61 Typical High $165.96 | Facility | None | $23.99 | $67.61 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $38.02 Typical High $48.98 | Professional | None (both parts) | $26.92 | $38.02 | $48.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $13.18 Typical High $16.60 | Professional | 26 · Professional part | $7.76 | $13.18 | $16.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $25.12 Typical High $32.36 | Professional | TC · Technical part | $18.20 | $25.12 | $32.36 |
Molina Setting Professional Modifier None (both parts) Typical Low $7.76 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $7.76 | $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 $22.39 Median $31.62 Typical High $58.88 | Professional | None (both parts) | $22.39 | $31.62 | $58.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.33 Typical High $19.05 | Professional | 26 · Professional part | $7.59 | $9.33 | $19.05 |
United Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $22.39 Typical High $40.74 | Professional | TC · Technical part | $14.79 | $22.39 | $40.74 |
3 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 $15.14 Median $26.30 Typical High $33.11 | Professional | 52 · Reduced service | $15.14 | $26.30 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $10.47 Typical High $13.18 | Professional | 53 · Discontinued | $6.03 | $10.47 | $13.18 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $38.90 Median $44.67 Typical High $46.77 | Professional | 50 · Both sides | $38.90 | $44.67 | $46.77 |
Where Mississippi sits
The same service costs 15.5 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· 41st of 51
$33.88
VT $427FL $27.54
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.