How much rates vary
Facilitymedian $240 · 10th to 90th $115 to $269Professionalmedian $98 · 10th to 90th $59 to $138
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 $72.44 Median $114.82 Typical High $114.82 | Facility | None | $72.44 | $114.82 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $123.03 Typical High $158.49 | Professional | None (both parts) | $72.44 | $123.03 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $50.12 Typical High $64.57 | Professional | 26 · Professional part | $29.51 | $50.12 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $72.44 Typical High $93.33 | Professional | TC · Technical part | $42.66 | $72.44 | $93.33 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $58.88 Median $61.66 Typical High $77.62 | Professional | None (both parts) | $58.88 | $61.66 | $77.62 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $31.62 Typical High $32.36 | Professional | 26 · Professional part | $26.92 | $31.62 | $32.36 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $43.65 Typical High $48.98 | Professional | TC · Technical part | $41.69 | $43.65 | $48.98 |
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 $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $97.72 Typical High $234.42 | Facility | None | $81.28 | $97.72 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $109.65 Typical High $138.04 | Professional | None (both parts) | $66.07 | $109.65 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $42.66 Typical High $56.23 | Professional | 26 · Professional part | $26.30 | $42.66 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $69.18 Typical High $87.10 | Professional | TC · Technical part | $40.74 | $69.18 | $87.10 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.30 Median $33.11 Typical High $63.10 | Professional | None (both parts) | $26.30 | $33.11 | $63.10 |
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 $69.18 Median $77.62 Typical High $147.91 | Professional | None (both parts) | $69.18 | $77.62 | $147.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $31.62 Typical High $57.54 | Professional | 26 · Professional part | $25.70 | $31.62 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $46.77 Typical High $93.33 | Professional | TC · Technical part | $42.66 | $46.77 | $93.33 |
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 $36.31 Median $61.66 Typical High $79.43 | Professional | 52 · Reduced service | $36.31 | $61.66 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $24.55 Typical High $31.62 | Professional | 53 · Discontinued | $14.45 | $24.55 | $31.62 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 59 · Distinct service | $72.44 | $72.44 | $72.44 |
Where Mississippi sits
The same service costs 3.6 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· 21st of 51
$102
AK $245TX $67.61
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.