How much rates vary
Facilitymedian $245 · 10th to 90th $126 to $1,202Professionalmedian $155 · 10th to 90th $98 to $214
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $125.89 Median $128.82 Typical High $208.93 | Facility | None | $125.89 | $128.82 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $194.98 Typical High $208.93 | Professional | None (both parts) | $125.89 | $194.98 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $28.84 Typical High $37.15 | Professional | 26 · Professional part | $22.39 | $28.84 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $169.82 Typical High $169.82 | Professional | TC · Technical part | $102.33 | $169.82 | $169.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $79.43 Median $117.49 Typical High $131.83 | Professional | None (both parts) | $79.43 | $117.49 | $131.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $31.62 | Professional | 26 · Professional part | $20.42 | $20.42 | $31.62 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $91.20 | Professional | TC · Technical part | $81.28 | $81.28 | $91.20 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $190.55 | $190.55 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $147.91 Typical High $2,187.76 | Facility | None | $117.49 | $147.91 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $154.88 Typical High $229.09 | Professional | None (both parts) | $117.49 | $154.88 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $26.92 Typical High $47.86 | Professional | 26 · Professional part | $19.95 | $26.92 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $125.89 Typical High $199.53 | Professional | TC · Technical part | $97.72 | $125.89 | $199.53 |
Molina Setting Professional Modifier None (both parts) Typical Low $18.20 Median $33.11 Typical High $97.72 | Professional | None (both parts) | $18.20 | $33.11 | $97.72 |
United Setting Facility Modifier None Typical Low $269.15 Median $389.05 Typical High $436.52 | Facility | None | $269.15 | $389.05 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $151.36 Typical High $234.42 | Professional | None (both parts) | $117.49 | $151.36 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $24.55 Typical High $35.48 | Professional | 26 · Professional part | $20.42 | $24.55 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $123.03 Typical High $199.53 | Professional | TC · Technical part | $95.50 | $123.03 | $199.53 |
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 $63.10 Median $104.71 Typical High $104.71 | Professional | 52 · Reduced service | $63.10 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $41.69 Typical High $41.69 | Professional | 53 · Discontinued | $25.12 | $41.69 | $41.69 |
Ambetter Setting Professional Modifier CC · Code corrected Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | CC · Code corrected | $100.00 | $100.00 | $100.00 |
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· 34th of 51
$155
AK $316UT $95.50
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.