How much rates vary
Facilitymedian $4,266 · 10th to 90th $2,754 to $4,677Professionalmedian $214 · 10th to 90th $126 to $550
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 $128.82 Median $134.90 Typical High $229.09 | Facility | None | $128.82 | $134.90 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $229.09 Typical High $295.12 | Professional | None (both parts) | $134.90 | $229.09 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $131.83 Typical High $169.82 | Professional | 26 · Professional part | $75.86 | $131.83 | $169.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $97.72 Typical High $125.89 | Professional | TC · Technical part | $57.54 | $97.72 | $125.89 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $109.65 | Professional | 26 · Professional part | $75.86 | $75.86 | $109.65 |
BCBS Mississippi Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,677.35 | Facility | None | $4,265.80 | $4,265.80 | $4,677.35 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None (both parts) | $549.54 | $549.54 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $2,570.40 Typical High $4,466.84 | Facility | None | $275.42 | $2,570.40 | $4,466.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $213.80 Typical High $501.19 | Professional | None (both parts) | $123.03 | $213.80 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $70.79 Typical High $144.54 | Professional | 26 · Professional part | $57.54 | $70.79 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $141.25 Typical High $389.05 | Professional | TC · Technical part | $54.95 | $141.25 | $389.05 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $117.49 | Professional | None (both parts) | $33.11 | $33.11 | $117.49 |
United Setting Facility Modifier None Typical Low $3,981.07 Median $5,754.40 Typical High $6,456.54 | Facility | None | $3,981.07 | $5,754.40 | $6,456.54 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $186.21 Typical High $616.60 | Professional | None (both parts) | $125.89 | $186.21 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $79.43 Typical High $120.23 | Professional | 26 · Professional part | $42.66 | $79.43 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $109.65 Typical High $512.86 | Professional | TC · Technical part | $67.61 | $109.65 | $512.86 |
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 $67.61 Median $114.82 Typical High $147.91 | Professional | 52 · Reduced service | $67.61 | $114.82 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $45.71 Typical High $58.88 | Professional | 53 · Discontinued | $26.92 | $45.71 | $58.88 |
Where Mississippi sits
The same service costs 4.1 times more in Alaska than in Texas. 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
$224
AK $468TX $115
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.