How much rates vary
Facilitymedian $158 · 10th to 90th $65 to $174Professionalmedian $30 · 10th to 90th $20 to $47
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 $25.12 Median $27.54 Typical High $61.66 | Facility | None | $25.12 | $27.54 | $61.66 |
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 $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 $19.95 Median $33.88 Typical High $43.65 | Professional | TC · Technical part | $19.95 | $33.88 | $43.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $18.62 Median $23.44 Typical High $27.54 | Professional | None (both parts) | $18.62 | $23.44 | $27.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.51 Typical High $11.48 | Professional | 26 · Professional part | $6.76 | $8.51 | $11.48 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $19.05 Typical High $22.39 | Professional | TC · Technical part | $16.98 | $19.05 | $22.39 |
BCBS Mississippi Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $173.78 | Facility | None | $158.49 | $158.49 | $173.78 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None (both parts) | $40.74 | $40.74 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $93.33 Typical High $165.96 | Facility | None | $21.88 | $93.33 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $33.88 Typical High $46.77 | Professional | None (both parts) | $23.44 | $33.88 | $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 $17.78 Median $22.91 Typical High $32.36 | Professional | TC · Technical part | $17.78 | $22.91 | $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 $131.83 Median $190.55 Typical High $213.80 | Facility | None | $131.83 | $190.55 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $19.95 Median $28.84 Typical High $50.12 | Professional | None (both parts) | $19.95 | $28.84 | $50.12 |
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 $13.49 Median $20.42 Typical High $33.88 | Professional | TC · Technical part | $13.49 | $20.42 | $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 $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 $9.33 Typical High $12.02 | Professional | 53 · Discontinued | $5.50 | $9.33 | $12.02 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $35.48 Median $41.69 Typical High $41.69 | Professional | 50 · Both sides | $35.48 | $41.69 | $41.69 |
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· 33rd of 51
$33.11
AK $91.20FL $24.55
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.