How much rates vary
Facilitymedian $95 · 10th to 90th $68 to $110Professionalmedian $34 · 10th to 90th $22 to $50
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 $69.18 | Facility | None | $25.70 | $28.84 | $69.18 |
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 $7.94 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 $20.89 Median $35.48 Typical High $45.71 | Professional | TC · Technical part | $20.89 | $35.48 | $45.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $19.95 Median $23.44 Typical High $29.51 | Professional | None (both parts) | $19.95 | $23.44 | $29.51 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.94 Typical High $9.77 | Professional | 26 · Professional part | $6.76 | $7.94 | $9.77 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $21.38 Typical High $23.99 | Professional | TC · Technical part | $18.20 | $21.38 | $23.99 |
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 $30.20 Median $67.61 Typical High $102.33 | Facility | None | $30.20 | $67.61 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $40.74 Typical High $50.12 | Professional | None (both parts) | $26.92 | $40.74 | $50.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $11.48 Typical High $15.14 | Professional | 26 · Professional part | $7.08 | $11.48 | $15.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $29.51 Typical High $36.31 | Professional | TC · Technical part | $18.62 | $29.51 | $36.31 |
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 $29.51 Typical High $58.88 | Professional | None (both parts) | $24.55 | $29.51 | $58.88 |
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 $17.38 Median $21.38 Typical High $40.74 | Professional | TC · Technical part | $17.38 | $21.38 | $40.74 |
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 $14.45 Median $24.55 Typical High $31.62 | Professional | 52 · Reduced service | $14.45 | $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 15.1 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· 34th of 51
$36.31
VT $407FL $26.92
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.