How much rates vary
Facilitymedian $437 · 10th to 90th $417 to $603Professionalmedian $324 · 10th to 90th $162 to $537
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 $316.23 Median $602.56 Typical High $954.99 | Facility | None | $316.23 | $602.56 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $398.11 Typical High $478.63 | Professional | None (both parts) | $288.40 | $398.11 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $151.36 Typical High $181.97 | Professional | 26 · Professional part | $112.20 | $151.36 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $239.88 Typical High $288.40 | Professional | TC · Technical part | $186.21 | $239.88 | $288.40 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $138.04 Median $169.82 Typical High $190.55 | Professional | None (both parts) | $138.04 | $169.82 | $190.55 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $64.57 Typical High $102.33 | Professional | 26 · Professional part | $57.54 | $64.57 | $102.33 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $107.15 Typical High $125.89 | Professional | TC · Technical part | $89.13 | $107.15 | $125.89 |
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 $501.19 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $501.19 | $501.19 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $478.63 Typical High $501.19 | Facility | None | $131.83 | $478.63 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $363.08 Typical High $724.44 | Professional | None (both parts) | $162.18 | $363.08 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $114.82 Typical High $128.82 | Professional | 26 · Professional part | $60.26 | $114.82 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $239.88 Typical High $645.65 | Professional | TC · Technical part | $102.33 | $239.88 | $645.65 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $151.36 | Professional | None (both parts) | $33.11 | $33.11 | $151.36 |
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 $173.78 Median $263.03 Typical High $870.96 | Professional | None (both parts) | $173.78 | $263.03 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $72.44 Typical High $147.91 | Professional | 26 · Professional part | $57.54 | $72.44 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $177.83 Typical High $707.95 | Professional | TC · Technical part | $117.49 | $177.83 | $707.95 |
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 $158.49 Median $199.53 Typical High $234.42 | Professional | 52 · Reduced service | $158.49 | $199.53 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $79.43 Typical High $93.33 | Professional | 53 · Discontinued | $63.10 | $79.43 | $93.33 |
Where Mississippi sits
The same service costs 24.0 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· 26th of 51
$363
VT $2,951UT $123
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.