How much rates vary
Facilitymedian $240 · 10th to 90th $60 to $269Professionalmedian $81 · 10th to 90th $47 to $141
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 $48.98 Median $48.98 Typical High $66.07 | Facility | None | $48.98 | $48.98 | $66.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $93.33 Typical High $120.23 | Professional | None (both parts) | $54.95 | $93.33 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $44.67 Typical High $57.54 | Professional | 26 · Professional part | $26.30 | $44.67 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $48.98 Typical High $61.66 | Professional | TC · Technical part | $28.18 | $48.98 | $61.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $46.77 Median $54.95 Typical High $54.95 | Professional | None (both parts) | $46.77 | $54.95 | $54.95 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $25.70 Typical High $28.84 | Professional | 26 · Professional part | $22.91 | $25.70 | $28.84 |
BCBS Mississippi Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $269.15 | Facility | None | $239.88 | $239.88 | $269.15 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $141.25 | $141.25 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $125.89 Typical High $234.42 | Facility | None | $93.33 | $125.89 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $81.28 Typical High $147.91 | Professional | None (both parts) | $48.98 | $81.28 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $38.02 Typical High $50.12 | Professional | 26 · Professional part | $23.44 | $38.02 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $42.66 Typical High $102.33 | Professional | TC · Technical part | $24.55 | $42.66 | $102.33 |
Molina Setting Professional Modifier None (both parts) Typical Low $23.44 Median $33.11 Typical High $47.86 | Professional | None (both parts) | $23.44 | $33.11 | $47.86 |
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 $51.29 Median $72.44 Typical High $134.90 | Professional | None (both parts) | $51.29 | $72.44 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $28.18 Typical High $52.48 | Professional | 26 · Professional part | $22.91 | $28.18 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $33.88 Typical High $91.20 | Professional | TC · Technical part | $25.12 | $33.88 | $91.20 |
3 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 $26.92 Median $46.77 Typical High $60.26 | Professional | 52 · Reduced service | $26.92 | $46.77 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $18.62 Typical High $23.99 | Professional | 53 · Discontinued | $10.96 | $18.62 | $23.99 |
Ambetter Setting Professional Modifier 79 · Unrelated procedure after surgery Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 79 · Unrelated procedure after surgery | $54.95 | $54.95 | $54.95 |
Where Mississippi sits
The same service costs 3.8 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· 30th of 51
$81.28
AK $182TX $47.86
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.