How much rates vary
Facilitymedian $457 · 10th to 90th $427 to $646Professionalmedian $550 · 10th to 90th $295 to $759
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 $512.86 Median $645.65 Typical High $1,023.29 | Facility | None | $512.86 | $645.65 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $630.96 Typical High $758.58 | Professional | None (both parts) | $467.74 | $630.96 | $758.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $151.36 Typical High $177.83 | Professional | 26 · Professional part | $109.65 | $151.36 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $489.78 Typical High $575.44 | Professional | TC · Technical part | $354.81 | $489.78 | $575.44 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None (both parts) | $630.96 | $630.96 | $630.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $63.10 | $63.10 | $63.10 |
BCBS Mississippi Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $478.63 | Facility | None | $426.58 | $426.58 | $478.63 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None (both parts) | $724.44 | $724.44 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $478.63 Typical High $501.19 | Facility | None | $138.04 | $478.63 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $616.60 Typical High $870.96 | Professional | None (both parts) | $281.84 | $616.60 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $112.20 Typical High $125.89 | Professional | 26 · Professional part | $58.88 | $112.20 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $489.78 Typical High $758.58 | Professional | TC · Technical part | $223.87 | $489.78 | $758.58 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $257.04 | Professional | None (both parts) | $33.11 | $33.11 | $257.04 |
United Setting Facility Modifier None Typical Low $302.00 Median $436.52 Typical High $489.78 | Facility | None | $302.00 | $436.52 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $295.12 Median $426.58 Typical High $933.25 | Professional | None (both parts) | $295.12 | $426.58 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $70.79 Typical High $147.91 | Professional | 26 · Professional part | $56.23 | $70.79 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $346.74 Typical High $776.25 | Professional | TC · Technical part | $239.88 | $346.74 | $776.25 |
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 $234.42 Median $316.23 Typical High $380.19 | Professional | 52 · Reduced service | $234.42 | $316.23 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $125.89 Typical High $151.36 | Professional | 53 · Discontinued | $93.33 | $125.89 | $151.36 |
Where Mississippi sits
The same service costs 6.3 times more in Wyoming 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· 24th of 51
$513
WY $1,349UT $214
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.