How much rates vary
Facilitymedian $158 · 10th to 90th $98 to $174Professionalmedian $54 · 10th to 90th $33 to $76
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 $39.81 Median $43.65 Typical High $97.72 | Facility | None | $39.81 | $43.65 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $75.86 Typical High $97.72 | Professional | None (both parts) | $43.65 | $75.86 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $25.12 Typical High $32.36 | Professional | 26 · Professional part | $14.45 | $25.12 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $50.12 Typical High $64.57 | Professional | TC · Technical part | $29.51 | $50.12 | $64.57 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $43.65 | Professional | None (both parts) | $29.51 | $29.51 | $43.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $14.45 Typical High $22.39 | Professional | 26 · Professional part | $13.49 | $14.45 | $22.39 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $23.44 Typical High $28.18 | Professional | TC · Technical part | $23.44 | $23.44 | $28.18 |
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 $72.44 Median $72.44 Typical High $72.44 | Professional | None (both parts) | $72.44 | $72.44 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $97.72 Typical High $165.96 | Facility | None | $38.02 | $97.72 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $60.26 Typical High $75.86 | Professional | None (both parts) | $40.74 | $60.26 | $75.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $20.89 Typical High $28.18 | Professional | 26 · Professional part | $12.88 | $20.89 | $28.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $39.81 Typical High $47.86 | Professional | TC · Technical part | $26.30 | $39.81 | $47.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $12.88 Median $33.11 Typical High $38.90 | Professional | None (both parts) | $12.88 | $33.11 | $38.90 |
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 $35.48 Median $46.77 Typical High $85.11 | Professional | None (both parts) | $35.48 | $46.77 | $85.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $15.49 Typical High $32.36 | Professional | 26 · Professional part | $12.30 | $15.49 | $32.36 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $30.90 Typical High $51.29 | Professional | TC · Technical part | $22.91 | $30.90 | $51.29 |
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 $21.88 Median $38.02 Typical High $47.86 | Professional | 52 · Reduced service | $21.88 | $38.02 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $15.14 Typical High $19.50 | Professional | 53 · Discontinued | $8.71 | $15.14 | $19.50 |
Where Mississippi sits
The same service costs 4.5 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· 23rd of 51
$60.26
AK $148UT $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.