How much rates vary
Facilitymedian $158 · 10th to 90th $158 to $275Professionalmedian $112 · 10th to 90th $66 to $145
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 $81.28 Median $85.11 Typical High $186.21 | Facility | None | $81.28 | $85.11 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $144.54 Typical High $186.21 | Professional | None (both parts) | $85.11 | $144.54 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $46.77 Typical High $58.88 | Professional | 26 · Professional part | $26.92 | $46.77 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $100.00 Typical High $125.89 | Professional | TC · Technical part | $57.54 | $100.00 | $125.89 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None (both parts) | $83.18 | $83.18 | $83.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $29.51 Typical High $29.51 | Professional | 26 · Professional part | $26.30 | $29.51 | $29.51 |
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 $131.83 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $131.83 | $131.83 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $151.36 Typical High $275.42 | Facility | None | $74.13 | $151.36 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $112.20 Typical High $158.49 | Professional | None (both parts) | $74.13 | $112.20 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.20 Typical High $46.77 | Professional | 26 · Professional part | $23.99 | $30.20 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $81.28 Typical High $100.00 | Professional | TC · Technical part | $54.95 | $81.28 | $100.00 |
Molina Setting Professional Modifier None (both parts) Typical Low $23.99 Median $33.11 Typical High $74.13 | Professional | None (both parts) | $23.99 | $33.11 | $74.13 |
United Setting Facility Modifier None Typical Low $218.78 Median $316.23 Typical High $354.81 | Facility | None | $218.78 | $316.23 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $89.13 Typical High $138.04 | Professional | None (both parts) | $64.57 | $89.13 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $28.84 Typical High $47.86 | Professional | 26 · Professional part | $17.78 | $28.84 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $63.10 Typical High $93.33 | Professional | TC · Technical part | $45.71 | $63.10 | $93.33 |
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 $42.66 Median $72.44 Typical High $93.33 | Professional | 52 · Reduced service | $42.66 | $72.44 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $28.84 Typical High $37.15 | Professional | 53 · Discontinued | $16.98 | $28.84 | $37.15 |
Where Mississippi sits
The same service costs 3.8 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· 25th of 51
$112
AK $282UT $74.13
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.