How much rates vary
Facilitymedian $204 · 10th to 90th $117 to $288Professionalmedian $35 · 10th to 90th $26 to $49
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 $26.92 Median $34.67 Typical High $70.79 | Facility | None | $26.92 | $34.67 | $70.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $39.81 Typical High $44.67 | Professional | None (both parts) | $26.92 | $39.81 | $44.67 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.23 Typical High $14.13 | Professional | 26 · Professional part | $8.51 | $10.23 | $14.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $29.51 Typical High $30.20 | Professional | TC · Technical part | $18.20 | $29.51 | $30.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.99 Median $25.70 Typical High $33.88 | Professional | None (both parts) | $23.99 | $25.70 | $33.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $9.77 Typical High $10.00 | Professional | 26 · Professional part | $6.17 | $9.77 | $10.00 |
BCBS Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $234.42 | Facility | None | $204.17 | $204.17 | $234.42 |
BCBS Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None (both parts) | $48.98 | $48.98 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $117.49 Typical High $281.84 | Facility | None | $29.51 | $117.49 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $47.86 Typical High $50.12 | Professional | None (both parts) | $31.62 | $47.86 | $50.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $12.30 Typical High $12.88 | Professional | 26 · Professional part | $8.13 | $12.30 | $12.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $35.48 Typical High $37.15 | Professional | TC · Technical part | $22.39 | $35.48 | $37.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $20.89 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $20.89 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $269.15 Median $389.05 Typical High $436.52 | Facility | None | $269.15 | $389.05 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $30.90 Median $33.11 Typical High $51.29 | Professional | None (both parts) | $30.90 | $33.11 | $51.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.71 Typical High $13.49 | Professional | 26 · Professional part | $7.41 | $8.71 | $13.49 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $24.55 Typical High $38.02 | Professional | TC · Technical part | $21.88 | $24.55 | $38.02 |
4 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 $13.49 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $13.49 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $8.91 Typical High $8.91 | Professional | 53 · Discontinued | $5.37 | $8.91 | $8.91 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $20.42 Median $20.42 Typical High $32.36 | Professional | 59 · Distinct service | $20.42 | $20.42 | $32.36 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | Q6 · Substitute physician, paid per time | $23.99 | $23.99 | $23.99 |
Where Mississippi sits
The same service costs 2.5 times more in Alaska than in Texas. 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· 26th of 51
$36.31
AK $67.61TX $26.92
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.