How much rates vary
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 $95.50 Median $95.50 Typical High $162.18 | Facility | None | $95.50 | $95.50 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $162.18 Typical High $208.93 | Professional | None (both parts) | $95.50 | $162.18 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $79.43 Typical High $100.00 | Professional | 26 · Professional part | $45.71 | $79.43 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $85.11 Typical High $107.15 | Professional | TC · Technical part | $48.98 | $85.11 | $107.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $45.71 Typical High $66.07 | Professional | 26 · Professional part | $45.71 | $45.71 | $66.07 |
BCBS Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,148.15 | Facility | None | $1,047.13 | $1,047.13 | $1,148.15 |
BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $660.69 Typical High $1,445.44 | Facility | None | $97.72 | $660.69 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $151.36 Typical High $181.97 | Professional | None (both parts) | $89.13 | $151.36 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $45.71 Typical High $63.10 | Professional | 26 · Professional part | $33.11 | $45.71 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $102.33 Typical High $120.23 | Professional | TC · Technical part | $47.86 | $102.33 | $120.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $83.18 | Professional | None (both parts) | $33.11 | $33.11 | $83.18 |
United Setting Facility Modifier None Typical Low $1,949.84 Median $2,884.03 Typical High $3,235.94 | Facility | None | $1,949.84 | $2,884.03 | $3,235.94 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $104.71 Typical High $162.18 | Professional | None (both parts) | $83.18 | $104.71 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.88 Typical High $72.44 | Professional | 26 · Professional part | $26.92 | $33.88 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $69.18 Typical High $112.20 | Professional | TC · Technical part | $56.23 | $69.18 | $112.20 |
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 $47.86 Median $81.28 Typical High $104.71 | Professional | 52 · Reduced service | $47.86 | $81.28 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $32.36 Typical High $41.69 | Professional | 53 · Discontinued | $19.05 | $32.36 | $41.69 |
Where Mississippi sits
The same service costs 4.2 times more in Alaska than in Utah. 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· 15th of 51
$151
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.