How much rates vary
Facilitymedian $347 · 10th to 90th $282 to $468Professionalmedian $48 · 10th to 90th $35 to $65
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 $38.90 Median $38.90 Typical High $64.57 | Facility | None | $38.90 | $38.90 | $64.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $46.77 Typical High $64.57 | Professional | None (both parts) | $38.90 | $46.77 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $19.05 Typical High $25.12 | Professional | 26 · Professional part | $15.14 | $19.05 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $28.84 Typical High $39.81 | Professional | TC · Technical part | $23.99 | $28.84 | $39.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $47.86 | Professional | None (both parts) | $42.66 | $42.66 | $47.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | 26 · Professional part | $16.98 | $16.98 | $16.98 |
BCBS Mississippi Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $467.74 | Facility | None | $346.74 | $346.74 | $467.74 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None (both parts) | $53.70 | $53.70 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $223.87 Typical High $281.84 | Facility | None | $26.92 | $223.87 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $53.70 Typical High $60.26 | Professional | None (both parts) | $37.15 | $53.70 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $21.88 Typical High $35.48 | Professional | 26 · Professional part | $14.45 | $21.88 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $28.84 Typical High $33.11 | Professional | TC · Technical part | $22.39 | $28.84 | $33.11 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $30.20 | $33.11 | $33.11 |
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 $33.88 Median $37.15 Typical High $57.54 | Professional | None (both parts) | $33.88 | $37.15 | $57.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $15.14 Typical High $23.44 | Professional | 26 · Professional part | $12.88 | $15.14 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $21.88 Typical High $33.88 | Professional | TC · Technical part | $19.05 | $21.88 | $33.88 |
5 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 $19.50 Median $32.36 Typical High $32.36 | Professional | 52 · Reduced service | $19.50 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $7.76 | $12.88 | $12.88 |
Ambetter Setting Professional Modifier 51 · Multiple procedures Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | 51 · Multiple procedures | $33.88 | $33.88 | $33.88 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $28.84 Median $33.88 Typical High $33.88 | Professional | 59 · Distinct service | $28.84 | $33.88 | $33.88 |
Ambetter Setting Professional Modifier XU · Unusual separate service Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | XU · Unusual separate service | $45.71 | $45.71 | $45.71 |
Where Mississippi sits
The same service costs 2.7 times more in Minnesota 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· 22nd of 51
$47.86
MN $83.18UT $30.90
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.