How much rates vary
Facilitymedian $95 · 10th to 90th $68 to $110Professionalmedian $35 · 10th to 90th $23 to $58
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 $33.11 Typical High $77.62 | Facility | None | $29.51 | $33.11 | $77.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $57.54 Typical High $72.44 | Professional | None (both parts) | $33.11 | $57.54 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $10.72 Typical High $13.80 | Professional | 26 · Professional part | $6.31 | $10.72 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $46.77 Typical High $58.88 | Professional | TC · Technical part | $26.92 | $46.77 | $58.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.44 Median $28.18 Typical High $34.67 | Professional | None (both parts) | $23.44 | $28.18 | $34.67 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $6.31 Typical High $7.08 | Professional | 26 · Professional part | $5.62 | $6.31 | $7.08 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $23.99 Typical High $28.18 | Professional | TC · Technical part | $22.39 | $23.99 | $28.18 |
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 $25.12 Median $67.61 Typical High $102.33 | Facility | None | $25.12 | $67.61 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $40.74 Typical High $53.70 | Professional | None (both parts) | $26.30 | $40.74 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $9.12 Typical High $12.02 | Professional | 26 · Professional part | $5.62 | $9.12 | $12.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $31.62 Typical High $41.69 | Professional | TC · Technical part | $23.44 | $31.62 | $41.69 |
Molina Setting Professional Modifier None (both parts) Typical Low $5.62 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $5.62 | $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 $32.36 Typical High $46.77 | Professional | None (both parts) | $22.39 | $32.36 | $46.77 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $6.92 Typical High $13.18 | Professional | 26 · Professional part | $5.37 | $6.92 | $13.18 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $25.70 Typical High $38.02 | Professional | TC · Technical part | $16.60 | $25.70 | $38.02 |
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 $16.60 Median $28.84 Typical High $36.31 | Professional | 52 · Reduced service | $16.60 | $28.84 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $11.48 Typical High $14.45 | Professional | 53 · Discontinued | $6.61 | $11.48 | $14.45 |
Where Mississippi sits
The same service costs 11.5 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· 43rd of 51
$34.67
VT $339FL $29.51
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.