How much rates vary
Facilitymedian $468 · 10th to 90th $46 to $759Professionalmedian $63 · 10th to 90th $38 to $100
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 $38.02 Median $45.71 Typical High $114.82 | Facility | None | $38.02 | $45.71 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $63.10 Typical High $63.10 | Professional | None (both parts) | $38.02 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $15.49 Typical High $17.78 | Professional | 26 · Professional part | $10.72 | $15.49 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $45.71 Typical High $45.71 | Professional | TC · Technical part | $27.54 | $45.71 | $45.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $29.51 Median $43.65 Typical High $43.65 | Professional | None (both parts) | $29.51 | $43.65 | $43.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.02 Typical High $12.59 | Professional | 26 · Professional part | $11.22 | $12.02 | $12.59 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $100.00 | $100.00 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $223.87 Typical High $407.38 | Facility | None | $51.29 | $223.87 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $81.28 Typical High $102.33 | Professional | None (both parts) | $45.71 | $81.28 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $19.05 Typical High $36.31 | Professional | 26 · Professional part | $12.02 | $19.05 | $36.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $61.66 Typical High $66.07 | Professional | TC · Technical part | $33.88 | $61.66 | $66.07 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $30.20 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $467.74 Median $676.08 Typical High $758.58 | Facility | None | $467.74 | $676.08 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $54.95 Typical High $85.11 | Professional | None (both parts) | $48.98 | $54.95 | $85.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $13.49 Typical High $22.91 | Professional | 26 · Professional part | $11.48 | $13.49 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $42.66 Typical High $64.57 | Professional | TC · Technical part | $35.48 | $42.66 | $64.57 |
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 $19.05 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $19.05 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $7.59 | $12.59 | $12.59 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $34.67 Median $34.67 Typical High $46.77 | Professional | 59 · Distinct service | $34.67 | $34.67 | $46.77 |
Ambetter Setting Professional Modifier Q6 · Substitute physician, paid per time Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | Q6 · Substitute physician, paid per time | $34.67 | $34.67 | $34.67 |
Where Mississippi sits
The same service costs 3.3 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· 20th of 51
$63.10
MN $105UT $31.62
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.