How much rates vary
Facilitymedian $158 · 10th to 90th $98 to $174Professionalmedian $51 · 10th to 90th $31 to $66
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 $33.88 Median $37.15 Typical High $63.10 | Facility | None | $33.88 | $37.15 | $63.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $63.10 Typical High $81.28 | Professional | None (both parts) | $37.15 | $63.10 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $19.50 Typical High $25.12 | Professional | 26 · Professional part | $11.48 | $19.50 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $43.65 Typical High $56.23 | Professional | TC · Technical part | $25.70 | $43.65 | $56.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $27.54 Median $53.70 Typical High $56.23 | Professional | None (both parts) | $27.54 | $53.70 | $56.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $11.75 Typical High $13.18 | Professional | 26 · Professional part | $11.75 | $11.75 | $13.18 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $28.84 Typical High $30.20 | Professional | TC · Technical part | $25.70 | $28.84 | $30.20 |
BCBS Mississippi Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $173.78 | Facility | None | $158.49 | $158.49 | $173.78 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None (both parts) | $61.66 | $61.66 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $93.33 Typical High $165.96 | Facility | None | $33.88 | $93.33 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $52.48 Typical High $64.57 | Professional | None (both parts) | $33.88 | $52.48 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $14.79 Typical High $19.05 | Professional | 26 · Professional part | $10.23 | $14.79 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $37.15 Typical High $45.71 | Professional | TC · Technical part | $24.55 | $37.15 | $45.71 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.47 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $10.47 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $131.83 Median $190.55 Typical High $213.80 | Facility | None | $131.83 | $190.55 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $28.84 Median $38.90 Typical High $69.18 | Professional | None (both parts) | $28.84 | $38.90 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $12.30 Typical High $21.88 | Professional | 26 · Professional part | $8.91 | $12.30 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $26.92 Typical High $46.77 | Professional | TC · Technical part | $20.42 | $26.92 | $46.77 |
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 $18.62 Median $31.62 Typical High $40.74 | Professional | 52 · Reduced service | $18.62 | $31.62 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $12.59 Typical High $16.22 | Professional | 53 · Discontinued | $7.41 | $12.59 | $16.22 |
Where Mississippi sits
The same service costs 3.7 times more in Alaska 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· 21st of 51
$52.48
AK $123UT $33.11
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.