How much rates vary
Facilitymedian $95 · 10th to 90th $65 to $110Professionalmedian $29 · 10th to 90th $20 to $44
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 $22.91 Median $25.12 Typical High $61.66 | Facility | None | $22.91 | $25.12 | $61.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $42.66 Typical High $54.95 | Professional | None (both parts) | $25.12 | $42.66 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $12.02 Typical High $15.49 | Professional | 26 · Professional part | $7.08 | $12.02 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $30.90 Typical High $38.90 | Professional | TC · Technical part | $17.78 | $30.90 | $38.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $17.38 Median $21.38 Typical High $28.18 | Professional | None (both parts) | $17.38 | $21.38 | $28.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $7.24 Typical High $11.22 | Professional | 26 · Professional part | $7.24 | $7.24 | $11.22 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $20.42 Typical High $27.54 | Professional | TC · Technical part | $14.45 | $20.42 | $27.54 |
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 $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 $20.89 Median $67.61 Typical High $102.33 | Facility | None | $20.89 | $67.61 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $33.88 Typical High $43.65 | Professional | None (both parts) | $23.44 | $33.88 | $43.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $10.23 Typical High $13.49 | Professional | 26 · Professional part | $6.31 | $10.23 | $13.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $23.44 Typical High $30.20 | Professional | TC · Technical part | $16.60 | $23.44 | $30.20 |
Molina Setting Professional Modifier None (both parts) Typical Low $6.61 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $6.61 | $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 $19.95 Median $26.92 Typical High $50.12 | Professional | None (both parts) | $19.95 | $26.92 | $50.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $7.59 Typical High $16.22 | Professional | 26 · Professional part | $6.03 | $7.59 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $19.05 Typical High $33.88 | Professional | TC · Technical part | $13.80 | $19.05 | $33.88 |
4 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 $12.30 Median $21.38 Typical High $27.54 | Professional | 52 · Reduced service | $12.30 | $21.38 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $8.51 Typical High $10.96 | Professional | 53 · Discontinued | $5.01 | $8.51 | $10.96 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $32.36 Median $38.02 Typical High $38.02 | Professional | 50 · Both sides | $32.36 | $38.02 | $38.02 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 59 · Distinct service | $25.12 | $25.12 | $25.12 |
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· 34th of 51
$30.90
AK $83.18FL $22.39
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.