How much rates vary
Facilitymedian $191 · 10th to 90th $178 to $447Professionalmedian $219 · 10th to 90th $117 to $316
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 $147.91 Median $446.68 Typical High $812.83 | Facility | None | $147.91 | $446.68 | $812.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $263.03 Typical High $275.42 | Professional | None (both parts) | $147.91 | $263.03 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $100.00 Typical High $107.15 | Professional | 26 · Professional part | $56.23 | $100.00 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $162.18 Typical High $218.78 | Professional | TC · Technical part | $91.20 | $162.18 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $131.83 | Professional | None (both parts) | $117.49 | $117.49 | $131.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $44.67 Typical High $54.95 | Professional | 26 · Professional part | $41.69 | $44.67 | $54.95 |
BCBS Mississippi Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $194.98 | Facility | None | $177.83 | $177.83 | $194.98 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $288.40 | $288.40 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $208.93 Typical High $346.74 | Facility | None | $60.26 | $208.93 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $281.84 Typical High $398.11 | Professional | None (both parts) | $109.65 | $281.84 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $81.28 Typical High $87.10 | Professional | 26 · Professional part | $39.81 | $81.28 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $204.17 Typical High $316.23 | Professional | TC · Technical part | $69.18 | $204.17 | $316.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $102.33 | Professional | None (both parts) | $33.11 | $33.11 | $102.33 |
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 $138.04 Median $173.78 Typical High $446.68 | Professional | None (both parts) | $138.04 | $173.78 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $50.12 Typical High $100.00 | Professional | 26 · Professional part | $38.90 | $50.12 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $134.90 Typical High $346.74 | Professional | TC · Technical part | $91.20 | $134.90 | $346.74 |
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 $72.44 Median $131.83 Typical High $138.04 | Professional | 52 · Reduced service | $72.44 | $131.83 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $52.48 Typical High $56.23 | Professional | 53 · Discontinued | $29.51 | $52.48 | $56.23 |
Where Mississippi sits
The same service costs 5.8 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· 30th of 51
$200
VT $603UT $105
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.