How much rates vary
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 $63.10 Median $63.10 Typical High $281.84 | Facility | None | $63.10 | $63.10 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $79.43 Typical High $104.71 | Professional | None (both parts) | $63.10 | $79.43 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $37.15 Typical High $47.86 | Professional | 26 · Professional part | $28.84 | $37.15 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $42.66 Typical High $57.54 | Professional | TC · Technical part | $33.11 | $42.66 | $57.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $77.62 | $77.62 | $77.62 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $34.67 | $34.67 | $34.67 |
BCBS Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $36.31 | Facility | None | $33.11 | $33.11 | $36.31 |
BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $120.23 | $120.23 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $223.87 Typical High $407.38 | Facility | None | $38.02 | $223.87 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $81.28 Typical High $91.20 | Professional | None (both parts) | $57.54 | $81.28 | $91.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $42.66 Typical High $69.18 | Professional | 26 · Professional part | $28.18 | $42.66 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $39.81 Typical High $44.67 | Professional | TC · Technical part | $21.88 | $39.81 | $44.67 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $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 $51.29 Median $57.54 Typical High $91.20 | Professional | None (both parts) | $51.29 | $57.54 | $91.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $29.51 Typical High $45.71 | Professional | 26 · Professional part | $25.12 | $29.51 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $29.51 Typical High $44.67 | Professional | TC · Technical part | $24.55 | $29.51 | $44.67 |
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 $31.62 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $31.62 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $20.89 Typical High $20.89 | Professional | 53 · Discontinued | $12.59 | $20.89 | $20.89 |
Where Mississippi sits
The same service costs 3.6 times more in Minnesota 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· 21st of 51
$81.28
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.