How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $223.87 Median $223.87 Typical High $389.05 | Facility | None | $223.87 | $223.87 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $389.05 Typical High $489.78 | Professional | None (both parts) | $223.87 | $389.05 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $128.82 Typical High $162.18 | Professional | 26 · Professional part | $74.13 | $128.82 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $263.03 Typical High $331.13 | Professional | TC · Technical part | $151.36 | $263.03 | $331.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $537.03 | Professional | None (both parts) | $363.08 | $363.08 | $537.03 |
BCBS Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
BCBS Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $323.59 | $323.59 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $288.40 Typical High $524.81 | Facility | None | $87.10 | $288.40 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $331.13 Typical High $446.68 | Professional | None (both parts) | $194.98 | $331.13 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $109.65 Typical High $144.54 | Professional | 26 · Professional part | $67.61 | $109.65 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $223.87 Typical High $302.00 | Professional | TC · Technical part | $123.03 | $223.87 | $302.00 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $199.53 | Professional | None (both parts) | $33.11 | $33.11 | $199.53 |
United Setting Facility Modifier None Typical Low $691.83 Median $1,000.00 Typical High $1,122.02 | Facility | None | $691.83 | $1,000.00 | $1,122.02 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $245.47 Typical High $346.74 | Professional | None (both parts) | $169.82 | $245.47 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $79.43 Typical High $147.91 | Professional | 26 · Professional part | $66.07 | $79.43 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $158.49 Typical High $239.88 | Professional | TC · Technical part | $100.00 | $158.49 | $239.88 |
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 $112.20 Median $194.98 Typical High $245.47 | Professional | 52 · Reduced service | $112.20 | $194.98 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $77.62 Typical High $100.00 | Professional | 53 · Discontinued | $44.67 | $77.62 | $100.00 |
Where Mississippi sits
The same service costs 5.0 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· 20th of 51
$316
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.