How much rates vary
Facilitymedian $195 · 10th to 90th $115 to $240Professionalmedian $91 · 10th to 90th $58 to $132
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 $69.18 Median $79.43 Typical High $134.90 | Facility | None | $69.18 | $79.43 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $125.89 Typical High $131.83 | Professional | None (both parts) | $79.43 | $125.89 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $17.78 Typical High $20.42 | Professional | 26 · Professional part | $12.30 | $17.78 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $109.65 Typical High $109.65 | Professional | TC · Technical part | $66.07 | $109.65 | $109.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $48.98 Median $57.54 Typical High $72.44 | Professional | None (both parts) | $48.98 | $57.54 | $72.44 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.30 Typical High $16.22 | Professional | 26 · Professional part | $9.77 | $12.30 | $16.22 |
BCBS Mississippi Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $123.03 | $123.03 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $114.82 Typical High $2,187.76 | Facility | None | $79.43 | $114.82 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $97.72 Typical High $147.91 | Professional | None (both parts) | $74.13 | $97.72 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $14.45 Typical High $26.30 | Professional | 26 · Professional part | $10.96 | $14.45 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $83.18 Typical High $131.83 | Professional | TC · Technical part | $63.10 | $83.18 | $131.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.00 Median $33.11 Typical High $61.66 | Professional | None (both parts) | $10.00 | $33.11 | $61.66 |
United Setting Facility Modifier None Typical Low $165.96 Median $239.88 Typical High $269.15 | Facility | None | $165.96 | $239.88 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $95.50 Typical High $154.88 | Professional | None (both parts) | $74.13 | $95.50 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $13.49 Typical High $19.50 | Professional | 26 · Professional part | $11.75 | $13.49 | $19.50 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $81.28 Typical High $134.90 | Professional | TC · Technical part | $63.10 | $81.28 | $134.90 |
4 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 $39.81 Median $66.07 Typical High $66.07 | Professional | 52 · Reduced service | $39.81 | $66.07 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $26.30 Typical High $26.30 | Professional | 53 · Discontinued | $15.85 | $26.30 | $26.30 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $57.54 Median $57.54 Typical High $77.62 | Professional | 59 · Distinct service | $57.54 | $57.54 | $77.62 |
Ambetter Setting Professional Modifier XS · Separate structure Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | XS · Separate structure | $57.54 | $57.54 | $57.54 |
Where Mississippi sits
The same service costs 3.3 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· 38th of 51
$97.72
AK $209UT $63.10
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.