How much rates vary
Facilitymedian $1,096 · 10th to 90th $871 to $1,288Professionalmedian $1,072 · 10th to 90th $724 to $1,479
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 $151.36 Median $812.83 Typical High $1,412.54 | Facility | None | $151.36 | $812.83 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,412.54 Typical High $1,479.11 | Professional | None (both parts) | $812.83 | $1,412.54 | $1,479.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $741.31 Typical High $776.25 | Professional | 26 · Professional part | $426.58 | $741.31 | $776.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $676.08 Typical High $707.95 | Professional | TC · Technical part | $389.05 | $676.08 | $707.95 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | 26 · Professional part | $436.52 | $436.52 | $436.52 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,288.25 | Facility | None | $1,096.48 | $1,096.48 | $1,288.25 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None (both parts) | $1,348.96 | $1,348.96 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $389.05 Typical High $1,659.59 | Facility | None | $309.03 | $389.05 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $758.58 Median $1,096.48 Typical High $1,412.54 | Professional | None (both parts) | $758.58 | $1,096.48 | $1,412.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $758.58 Typical High $870.96 | Professional | 26 · Professional part | $389.05 | $758.58 | $870.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $338.84 Typical High $588.84 | Professional | TC · Technical part | $316.23 | $338.84 | $588.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $870.96 Median $1,258.93 Typical High $1,412.54 | Facility | None | $870.96 | $1,258.93 | $1,412.54 |
United Setting Professional Modifier None (both parts) Typical Low $660.69 Median $851.14 Typical High $1,479.11 | Professional | None (both parts) | $660.69 | $851.14 | $1,479.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $562.34 Typical High $1,122.02 | Professional | 26 · Professional part | $426.58 | $562.34 | $1,122.02 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $346.74 Typical High $478.63 | Professional | TC · Technical part | $239.88 | $346.74 | $478.63 |
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 $407.38 Median $707.95 Typical High $741.31 | Professional | 52 · Reduced service | $407.38 | $707.95 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $281.84 Typical High $295.12 | Professional | 53 · Discontinued | $162.18 | $281.84 | $295.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $1,000.00 Typical High $1,023.29 | Professional | 78 · Unplanned return to OR | $575.44 | $1,000.00 | $1,023.29 |
Where Mississippi sits
The same service costs 5.6 times more in Alaska than in Florida. 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· 26th of 51
$1,096
AK $3,715FL $661
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.