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 $21.88 Median $21.88 Typical High $45.71 | Facility | None | $21.88 | $21.88 | $45.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.88 Median $41.69 Typical High $45.71 | Professional | None (both parts) | $21.88 | $41.69 | $45.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $12.59 Typical High $14.13 | Professional | 26 · Professional part | $6.61 | $12.59 | $14.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $28.84 Typical High $31.62 | Professional | TC · Technical part | $15.14 | $28.84 | $31.62 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $18.20 Median $25.12 Typical High $25.12 | Professional | None (both parts) | $18.20 | $25.12 | $25.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.76 Typical High $10.72 | Professional | 26 · Professional part | $6.61 | $7.76 | $10.72 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None (both parts) | $52.48 | $52.48 | $52.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $40.74 Typical High $51.29 | Professional | None (both parts) | $24.55 | $40.74 | $51.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $12.02 Typical High $17.78 | Professional | 26 · Professional part | $7.59 | $12.02 | $17.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $26.30 Typical High $40.74 | Professional | TC · Technical part | $18.62 | $26.30 | $40.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $6.31 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $6.31 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $23.99 Median $28.84 Typical High $72.44 | Professional | None (both parts) | $23.99 | $28.84 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.51 Typical High $17.38 | Professional | 26 · Professional part | $6.76 | $8.51 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $20.42 Typical High $52.48 | Professional | TC · Technical part | $16.60 | $20.42 | $52.48 |
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 $10.96 Median $20.89 Typical High $22.91 | Professional | 52 · Reduced service | $10.96 | $20.89 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $8.32 Typical High $9.12 | Professional | 53 · Discontinued | $4.37 | $8.32 | $9.12 |
Where Mississippi sits
The same service costs 2.7 times more in Minnesota than in Maryland. 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
$41.69
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.