How much rates vary
Facilitymedian $240 · 10th to 90th $120 to $269Professionalmedian $123 · 10th to 90th $76 to $178
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 $93.33 Median $107.15 Typical High $213.80 | Facility | None | $93.33 | $107.15 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $165.96 Typical High $208.93 | Professional | None (both parts) | $95.50 | $165.96 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $43.65 Typical High $56.23 | Professional | 26 · Professional part | $25.12 | $43.65 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $120.23 Typical High $154.88 | Professional | TC · Technical part | $70.79 | $120.23 | $154.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $75.86 Median $95.50 Typical High $104.71 | Professional | None (both parts) | $75.86 | $95.50 | $104.71 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.44 Typical High $28.18 | Professional | 26 · Professional part | $19.95 | $23.44 | $28.18 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $70.79 Typical High $85.11 | Professional | TC · Technical part | $56.23 | $70.79 | $85.11 |
BCBS Mississippi Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $269.15 | Facility | None | $239.88 | $239.88 | $269.15 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $173.78 | $173.78 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $109.65 Typical High $234.42 | Facility | None | $93.33 | $109.65 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $147.91 Typical High $186.21 | Professional | None (both parts) | $89.13 | $147.91 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $37.15 Typical High $48.98 | Professional | 26 · Professional part | $22.39 | $37.15 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $109.65 Typical High $138.04 | Professional | TC · Technical part | $67.61 | $109.65 | $138.04 |
Molina Setting Professional Modifier None (both parts) Typical Low $22.39 Median $33.11 Typical High $83.18 | Professional | None (both parts) | $22.39 | $33.11 | $83.18 |
United Setting Facility Modifier None Typical Low $131.83 Median $190.55 Typical High $213.80 | Facility | None | $131.83 | $190.55 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $104.71 Typical High $158.49 | Professional | None (both parts) | $83.18 | $104.71 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $27.54 Typical High $48.98 | Professional | 26 · Professional part | $21.88 | $27.54 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $77.62 Typical High $114.82 | Professional | TC · Technical part | $60.26 | $77.62 | $114.82 |
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 $83.18 Typical High $104.71 | Professional | 52 · Reduced service | $47.86 | $83.18 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $33.11 Typical High $41.69 | Professional | 53 · Discontinued | $19.05 | $33.11 | $41.69 |
Where Mississippi sits
The same service costs 4.1 times more in Minnesota 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· 23rd of 51
$129
MN $363FL $89.13
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.