How much rates vary
Facilitymedian $240 · 10th to 90th $126 to $269Professionalmedian $100 · 10th to 90th $63 to $178
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 $85.11 Median $97.72 Typical High $239.88 | Facility | None | $85.11 | $97.72 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $151.36 Typical High $194.98 | Professional | None (both parts) | $87.10 | $151.36 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $48.98 Typical High $63.10 | Professional | 26 · Professional part | $28.84 | $48.98 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $102.33 Typical High $128.82 | Professional | TC · Technical part | $58.88 | $102.33 | $128.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $87.10 | $87.10 | $87.10 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $28.18 Typical High $31.62 | Professional | 26 · Professional part | $26.30 | $28.18 | $31.62 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | TC · Technical part | $50.12 | $50.12 | $50.12 |
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 $177.83 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $177.83 | $177.83 | $177.83 |
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 $74.13 Median $91.20 Typical High $169.82 | Professional | None (both parts) | $74.13 | $91.20 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $41.69 Typical High $54.95 | Professional | 26 · Professional part | $25.70 | $41.69 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $56.23 Typical High $117.49 | Professional | TC · Technical part | $47.86 | $56.23 | $117.49 |
Molina Setting Professional Modifier None (both parts) Typical Low $25.70 Median $33.11 Typical High $77.62 | Professional | None (both parts) | $25.70 | $33.11 | $77.62 |
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 $57.54 Median $95.50 Typical High $165.96 | Professional | None (both parts) | $57.54 | $95.50 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.90 Typical High $57.54 | Professional | 26 · Professional part | $25.70 | $30.90 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $64.57 Typical High $107.15 | Professional | TC · Technical part | $30.90 | $64.57 | $107.15 |
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 $43.65 Median $75.86 Typical High $95.50 | Professional | 52 · Reduced service | $43.65 | $75.86 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $30.20 Typical High $38.90 | Professional | 53 · Discontinued | $17.38 | $30.20 | $38.90 |
Where Mississippi sits
The same service costs 4.2 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· 30th of 51
$112
AK $302UT $72.44
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.