How much rates vary
Facilitymedian $95 · 10th to 90th $68 to $110Professionalmedian $34 · 10th to 90th $23 to $56
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 $28.84 Median $36.31 Typical High $75.86 | Facility | None | $28.84 | $36.31 | $75.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $56.23 Typical High $70.79 | Professional | None (both parts) | $32.36 | $56.23 | $70.79 |
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 $24.55 Median $42.66 Typical High $53.70 | Professional | TC · Technical part | $24.55 | $42.66 | $53.70 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $22.91 Median $28.18 Typical High $37.15 | Professional | None (both parts) | $22.91 | $28.18 | $37.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $8.32 Typical High $11.48 | Professional | 26 · Professional part | $6.61 | $8.32 | $11.48 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $25.12 Typical High $36.31 | Professional | TC · Technical part | $21.38 | $25.12 | $36.31 |
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 $25.70 Median $67.61 Typical High $102.33 | Facility | None | $25.70 | $67.61 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $39.81 Typical High $53.70 | Professional | None (both parts) | $26.92 | $39.81 | $53.70 |
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 $21.38 Median $28.84 Typical High $38.90 | Professional | TC · Technical part | $21.38 | $28.84 | $38.90 |
Molina Setting Professional Modifier None (both parts) Typical Low $7.41 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $7.41 | $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 $23.44 Median $33.11 Typical High $54.95 | Professional | None (both parts) | $23.44 | $33.11 | $54.95 |
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 $15.85 Median $23.99 Typical High $36.31 | Professional | TC · Technical part | $15.85 | $23.99 | $36.31 |
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 $16.22 Median $28.18 Typical High $35.48 | Professional | 52 · Reduced service | $16.22 | $28.18 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $11.22 Typical High $14.45 | Professional | 53 · Discontinued | $6.46 | $11.22 | $14.45 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $40.74 Median $50.12 Typical High $50.12 | Professional | 50 · Both sides | $40.74 | $50.12 | $50.12 |
Where Mississippi sits
The same service costs 13.5 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· 40th of 51
$35.48
VT $389FL $28.84
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.