How much rates vary
Facilitymedian $372 · 10th to 90th $324 to $479Professionalmedian $479 · 10th to 90th $234 to $603
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 $295.12 Median $446.68 Typical High $851.14 | Facility | None | $295.12 | $446.68 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $537.03 Typical High $562.34 | Professional | None (both parts) | $295.12 | $537.03 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $181.97 Typical High $194.98 | Professional | 26 · Professional part | $100.00 | $181.97 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $346.74 Typical High $371.54 | Professional | TC · Technical part | $194.98 | $346.74 | $371.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $537.03 | Professional | None (both parts) | $169.82 | $169.82 | $537.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $79.43 Typical High $114.82 | Professional | 26 · Professional part | $70.79 | $79.43 | $114.82 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $169.82 Typical High $190.55 | Professional | TC · Technical part | $134.90 | $169.82 | $190.55 |
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 $478.63 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $478.63 | $478.63 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $346.74 Typical High $489.78 | Facility | None | $102.33 | $346.74 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $537.03 Typical High $812.83 | Professional | None (both parts) | $234.42 | $537.03 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $151.36 Typical High $158.49 | Professional | 26 · Professional part | $72.44 | $151.36 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $380.19 Typical High $630.96 | Professional | TC · Technical part | $162.18 | $380.19 | $630.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $218.78 | Professional | None (both parts) | $33.11 | $33.11 | $218.78 |
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 $269.15 Median $338.84 Typical High $851.14 | Professional | None (both parts) | $269.15 | $338.84 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $89.13 Typical High $177.83 | Professional | 26 · Professional part | $74.13 | $89.13 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $257.04 Typical High $676.08 | Professional | TC · Technical part | $181.97 | $257.04 | $676.08 |
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 $147.91 Median $269.15 Typical High $281.84 | Professional | 52 · Reduced service | $147.91 | $269.15 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $107.15 Typical High $112.20 | Professional | 53 · Discontinued | $60.26 | $107.15 | $112.20 |
Where Mississippi sits
The same service costs 12.3 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· 23rd of 51
$427
VT $2,089UT $170
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.