How much rates vary
Facilitymedian $95 · 10th to 90th $37 to $110Professionalmedian $35 · 10th to 90th $23 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 $29.51 Median $37.15 Typical High $50.12 | Facility | None | $29.51 | $37.15 | $50.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $50.12 Typical High $64.57 | Professional | None (both parts) | $29.51 | $50.12 | $64.57 |
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 $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 $20.42 Median $27.54 Typical High $32.36 | Professional | None (both parts) | $20.42 | $27.54 | $32.36 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $7.94 Typical High $8.91 | Professional | 26 · Professional part | $7.94 | $7.94 | $8.91 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $16.22 Typical High $26.92 | Professional | TC · Technical part | $15.14 | $16.22 | $26.92 |
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 $44.67 Median $44.67 Typical High $44.67 | Professional | None (both parts) | $44.67 | $44.67 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $67.61 Typical High $102.33 | Facility | None | $23.44 | $67.61 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $38.02 Typical High $51.29 | Professional | None (both parts) | $25.12 | $38.02 | $51.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $11.75 Typical High $14.45 | Professional | 26 · Professional part | $6.92 | $11.75 | $14.45 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $26.92 Typical High $37.15 | Professional | TC · Technical part | $20.42 | $26.92 | $37.15 |
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 $21.88 Median $30.90 Typical High $50.12 | Professional | None (both parts) | $21.88 | $30.90 | $50.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.32 Typical High $16.60 | Professional | 26 · Professional part | $6.76 | $8.32 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $22.39 Typical High $33.88 | Professional | TC · Technical part | $14.13 | $22.39 | $33.88 |
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 $14.79 Median $25.12 Typical High $32.36 | Professional | 52 · Reduced service | $14.79 | $25.12 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $10.00 Typical High $12.88 | Professional | 53 · Discontinued | $5.89 | $10.00 | $12.88 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | 50 · Both sides | $45.71 | $45.71 | $45.71 |
Where Mississippi sits
The same service costs 3.7 times more in Alaska 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· 30th of 51
$37.15
AK $100FL $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.