How much rates vary
Facilitymedian $151 · 10th to 90th $110 to $263Professionalmedian $129 · 10th to 90th $100 to $195
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 $97.72 Median $114.82 Typical High $190.55 | Facility | None | $97.72 | $114.82 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $151.36 Typical High $190.55 | Professional | None (both parts) | $114.82 | $151.36 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $28.18 Typical High $36.31 | Professional | 26 · Professional part | $21.88 | $28.18 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $123.03 Typical High $154.88 | Professional | TC · Technical part | $93.33 | $123.03 | $154.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $81.28 Median $102.33 Typical High $117.49 | Professional | None (both parts) | $81.28 | $102.33 | $117.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $19.50 Typical High $23.99 | Professional | 26 · Professional part | $15.49 | $19.50 | $23.99 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $70.79 Typical High $83.18 | Professional | TC · Technical part | $66.07 | $70.79 | $83.18 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $154.88 | $154.88 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $151.36 Typical High $2,187.76 | Facility | None | $93.33 | $151.36 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $125.89 Typical High $204.17 | Professional | None (both parts) | $107.15 | $125.89 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $26.92 Typical High $33.11 | Professional | 26 · Professional part | $19.95 | $26.92 | $33.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $100.00 Typical High $177.83 | Professional | TC · Technical part | $89.13 | $100.00 | $177.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $17.38 Median $33.11 Typical High $89.13 | Professional | None (both parts) | $17.38 | $33.11 | $89.13 |
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 $100.00 Median $138.04 Typical High $218.78 | Professional | None (both parts) | $100.00 | $138.04 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $23.99 Typical High $35.48 | Professional | 26 · Professional part | $20.42 | $23.99 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $109.65 Typical High $181.97 | Professional | TC · Technical part | $79.43 | $109.65 | $181.97 |
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 $57.54 Median $95.50 Typical High $95.50 | Professional | 52 · Reduced service | $57.54 | $95.50 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $22.91 | $38.02 | $38.02 |
Ambetter Setting Professional Modifier XS · Separate structure Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | XS · Separate structure | $81.28 | $81.28 | $81.28 |
Where Mississippi sits
The same service costs 4.0 times more in Minnesota 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· 43rd of 51
$129
MN $380UT $95.50
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.