How much rates vary
Facilitymedian $708 · 10th to 90th $525 to $794Professionalmedian $589 · 10th to 90th $269 to $955
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 $524.81 Median $645.65 Typical High $954.99 | Facility | None | $524.81 | $645.65 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $660.69 Typical High $776.25 | Professional | None (both parts) | $478.63 | $660.69 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $234.42 Typical High $281.84 | Professional | 26 · Professional part | $169.82 | $234.42 | $281.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $416.87 Typical High $501.19 | Professional | TC · Technical part | $309.03 | $416.87 | $501.19 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $223.87 Median $281.84 Typical High $457.09 | Professional | None (both parts) | $223.87 | $281.84 | $457.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $100.00 Typical High $154.88 | Professional | 26 · Professional part | $34.67 | $100.00 | $154.88 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | TC · Technical part | $181.97 | $181.97 | $181.97 |
BCBS Mississippi Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $794.33 | Facility | None | $707.95 | $707.95 | $794.33 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None (both parts) | $870.96 | $870.96 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $478.63 Typical High $831.76 | Facility | None | $204.17 | $478.63 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $588.84 Typical High $1,412.54 | Professional | None (both parts) | $269.15 | $588.84 | $1,412.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $181.97 Typical High $199.53 | Professional | 26 · Professional part | $91.20 | $181.97 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $398.11 Typical High $1,071.52 | Professional | TC · Technical part | $177.83 | $398.11 | $1,071.52 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $251.19 | Professional | None (both parts) | $33.11 | $33.11 | $251.19 |
United Setting Facility Modifier None Typical Low $436.52 Median $630.96 Typical High $707.95 | Facility | None | $436.52 | $630.96 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $446.68 Typical High $1,548.82 | Professional | None (both parts) | $281.84 | $446.68 | $1,548.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $112.20 Typical High $234.42 | Professional | 26 · Professional part | $89.13 | $112.20 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $295.12 Typical High $1,318.26 | Professional | TC · Technical part | $194.98 | $295.12 | $1,318.26 |
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 $263.03 Median $331.13 Typical High $389.05 | Professional | 52 · Reduced service | $263.03 | $331.13 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $131.83 Typical High $154.88 | Professional | 53 · Discontinued | $104.71 | $131.83 | $154.88 |
Where Mississippi sits
The same service costs 6.6 times more in Vermont 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
$589
VT $1,349UT $204
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.