How much rates vary
Facilitymedian $372 · 10th to 90th $316 to $447Professionalmedian $309 · 10th to 90th $148 to $389
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 $186.21 Median $446.68 Typical High $812.83 | Facility | None | $186.21 | $446.68 | $812.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $338.84 Typical High $354.81 | Professional | None (both parts) | $186.21 | $338.84 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $117.49 Typical High $123.03 | Professional | 26 · Professional part | $64.57 | $117.49 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $218.78 Typical High $234.42 | Professional | TC · Technical part | $123.03 | $218.78 | $234.42 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $147.91 | $147.91 | $147.91 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $54.95 Typical High $77.62 | Professional | 26 · Professional part | $43.65 | $54.95 | $77.62 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $54.95 Typical High $97.72 | Professional | TC · Technical part | $48.98 | $54.95 | $97.72 |
BCBS Mississippi Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $407.38 | Facility | None | $371.54 | $371.54 | $407.38 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None (both parts) | $363.08 | $363.08 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $346.74 Typical High $416.87 | Facility | None | $102.33 | $346.74 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $331.13 Typical High $512.86 | Professional | None (both parts) | $141.25 | $331.13 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $95.50 Typical High $107.15 | Professional | 26 · Professional part | $46.77 | $95.50 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $234.42 Typical High $416.87 | Professional | TC · Technical part | $93.33 | $234.42 | $416.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $131.83 | Professional | None (both parts) | $33.11 | $33.11 | $131.83 |
United Setting Facility Modifier None Typical Low $218.78 Median $316.23 Typical High $354.81 | Facility | None | $218.78 | $316.23 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $218.78 Typical High $562.34 | Professional | None (both parts) | $169.82 | $218.78 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $60.26 Typical High $120.23 | Professional | 26 · Professional part | $47.86 | $60.26 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $169.82 Typical High $407.38 | Professional | TC · Technical part | $114.82 | $169.82 | $407.38 |
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 $93.33 Median $169.82 Typical High $177.83 | Professional | 52 · Reduced service | $93.33 | $169.82 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $67.61 Typical High $70.79 | Professional | 53 · Discontinued | $37.15 | $67.61 | $70.79 |
Where Mississippi sits
The same service costs 5.9 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· 16th of 51
$324
VT $741UT $126
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.