How much rates vary
Facilitymedian $191 · 10th to 90th $178 to $398Professionalmedian $224 · 10th to 90th $112 to $324
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 $154.88 Median $446.68 Typical High $851.14 | Facility | None | $154.88 | $446.68 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $275.42 Typical High $323.59 | Professional | None (both parts) | $154.88 | $275.42 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $120.23 Typical High $125.89 | Professional | 26 · Professional part | $66.07 | $120.23 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $158.49 Typical High $218.78 | Professional | TC · Technical part | $89.13 | $158.49 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $123.03 | $123.03 | $123.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $58.88 | Professional | 26 · Professional part | $52.48 | $52.48 | $58.88 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | TC · Technical part | $70.79 | $70.79 | $70.79 |
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 $295.12 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $295.12 | $295.12 | $295.12 |
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 $114.82 Median $229.09 Typical High $416.87 | Professional | None (both parts) | $114.82 | $229.09 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $93.33 Typical High $104.71 | Professional | 26 · Professional part | $47.86 | $93.33 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $134.90 Typical High $309.03 | Professional | TC · Technical part | $67.61 | $134.90 | $309.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $107.15 | Professional | None (both parts) | $33.11 | $33.11 | $107.15 |
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 $112.20 Median $173.78 Typical High $446.68 | Professional | None (both parts) | $112.20 | $173.78 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $57.54 Typical High $114.82 | Professional | 26 · Professional part | $46.77 | $57.54 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $104.71 Typical High $316.23 | Professional | TC · Technical part | $66.07 | $104.71 | $316.23 |
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 $77.62 Median $138.04 Typical High $147.91 | Professional | 52 · Reduced service | $77.62 | $138.04 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $54.95 Typical High $58.88 | Professional | 53 · Discontinued | $30.90 | $54.95 | $58.88 |
Where Mississippi sits
The same service costs 5.4 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· 29th of 51
$209
AK $537UT $100
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.