How much rates vary
Facilitymedian $427 · 10th to 90th $398 to $603Professionalmedian $347 · 10th to 90th $170 to $525
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 $338.84 Median $630.96 Typical High $954.99 | Facility | None | $338.84 | $630.96 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $416.87 Typical High $489.78 | Professional | None (both parts) | $309.03 | $416.87 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $138.04 Typical High $165.96 | Professional | 26 · Professional part | $102.33 | $138.04 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $275.42 Typical High $331.13 | Professional | TC · Technical part | $204.17 | $275.42 | $331.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $91.20 Median $181.97 Typical High $204.17 | Professional | None (both parts) | $91.20 | $181.97 | $204.17 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $60.26 Typical High $93.33 | Professional | 26 · Professional part | $52.48 | $60.26 | $93.33 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $169.82 | Professional | TC · Technical part | $123.03 | $123.03 | $169.82 |
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 $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 $169.82 Median $380.19 Typical High $776.25 | Professional | None (both parts) | $169.82 | $380.19 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $104.71 Typical High $117.49 | Professional | 26 · Professional part | $54.95 | $104.71 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $269.15 Typical High $691.83 | Professional | TC · Technical part | $117.49 | $269.15 | $691.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $158.49 | Professional | None (both parts) | $33.11 | $33.11 | $158.49 |
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 $181.97 Median $281.84 Typical High $891.25 | Professional | None (both parts) | $181.97 | $281.84 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $66.07 Typical High $134.90 | Professional | 26 · Professional part | $53.70 | $66.07 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $194.98 Typical High $676.08 | Professional | TC · Technical part | $128.82 | $194.98 | $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 $165.96 Median $208.93 Typical High $245.47 | Professional | 52 · Reduced service | $165.96 | $208.93 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $83.18 Typical High $100.00 | Professional | 53 · Discontinued | $66.07 | $83.18 | $100.00 |
Where Mississippi sits
The same service costs 13.5 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
$380
VT $2,089UT $155
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.