How much rates vary
Facilitymedian $195 · 10th to 90th $178 to $398Professionalmedian $224 · 10th to 90th $102 to $324
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 $144.54 Median $398.11 Typical High $812.83 | Facility | None | $144.54 | $398.11 | $812.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $257.04 Typical High $275.42 | Professional | None (both parts) | $144.54 | $257.04 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $87.10 Typical High $91.20 | Professional | 26 · Professional part | $47.86 | $87.10 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $169.82 Typical High $218.78 | Professional | TC · Technical part | $95.50 | $169.82 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None (both parts) | $97.72 | $97.72 | $97.72 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.02 Typical High $54.95 | Professional | 26 · Professional part | $30.20 | $38.02 | $54.95 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $75.86 Typical High $75.86 | Professional | TC · Technical part | $60.26 | $75.86 | $75.86 |
BCBS Mississippi Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $194.98 | Facility | None | $177.83 | $177.83 | $194.98 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $263.03 | $263.03 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $208.93 Typical High $346.74 | Facility | None | $60.26 | $208.93 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $269.15 Typical High $407.38 | Professional | None (both parts) | $107.15 | $269.15 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $79.43 Typical High $91.20 | Professional | 26 · Professional part | $34.67 | $79.43 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $190.55 Typical High $316.23 | Professional | TC · Technical part | $74.13 | $190.55 | $316.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $100.00 | Professional | None (both parts) | $33.11 | $33.11 | $100.00 |
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 $125.89 Median $177.83 Typical High $407.38 | Professional | None (both parts) | $125.89 | $177.83 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $47.86 Typical High $104.71 | Professional | 26 · Professional part | $39.81 | $47.86 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $117.49 Typical High $309.03 | Professional | TC · Technical part | $83.18 | $117.49 | $309.03 |
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 $72.44 Median $128.82 Typical High $138.04 | Professional | 52 · Reduced service | $72.44 | $128.82 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $51.29 Typical High $54.95 | Professional | 53 · Discontinued | $28.84 | $51.29 | $54.95 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 59 · Distinct service | $114.82 | $114.82 | $114.82 |
Where Mississippi sits
The same service costs 4.9 times more in Alaska 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· 28th of 51
$209
AK $513UT $105
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.