How much rates vary
Facilitymedian $95 · 10th to 90th $68 to $110Professionalmedian $32 · 10th to 90th $22 to $51
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 $27.54 Median $29.51 Typical High $67.61 | Facility | None | $27.54 | $29.51 | $67.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $51.29 Typical High $64.57 | Professional | None (both parts) | $29.51 | $51.29 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $13.18 Typical High $16.60 | Professional | 26 · Professional part | $7.59 | $13.18 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $38.02 Typical High $48.98 | Professional | TC · Technical part | $21.88 | $38.02 | $48.98 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $20.42 Median $25.70 Typical High $33.88 | Professional | None (both parts) | $20.42 | $25.70 | $33.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $7.59 Typical High $11.75 | Professional | 26 · Professional part | $6.17 | $7.59 | $11.75 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $22.39 Typical High $26.92 | Professional | TC · Technical part | $19.05 | $22.39 | $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 $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 $38.90 Typical High $50.12 | Professional | None (both parts) | $26.30 | $38.90 | $50.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $10.96 Typical High $14.79 | Professional | 26 · Professional part | $6.92 | $10.96 | $14.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $27.54 Typical High $35.48 | Professional | TC · Technical part | $19.95 | $27.54 | $35.48 |
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 $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 $30.90 Typical High $54.95 | Professional | None (both parts) | $22.39 | $30.90 | $54.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $8.32 Typical High $17.78 | Professional | 26 · Professional part | $6.61 | $8.32 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $22.91 Typical High $36.31 | Professional | TC · Technical part | $15.49 | $22.91 | $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 $14.79 Median $25.70 Typical High $32.36 | Professional | 52 · Reduced service | $14.79 | $25.70 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $10.23 Typical High $13.18 | Professional | 53 · Discontinued | $5.89 | $10.23 | $13.18 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $36.31 Median $44.67 Typical High $44.67 | Professional | 50 · Both sides | $36.31 | $44.67 | $44.67 |
Where Mississippi sits
The same service costs 15.1 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· 38th of 51
$33.11
VT $407FL $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.