How much rates vary
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 $416.87 Median $776.25 Typical High $1,819.70 | Facility | None | $416.87 | $776.25 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $524.81 Typical High $537.03 | Professional | None (both parts) | $181.97 | $524.81 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $204.17 Typical High $208.93 | Professional | 26 · Professional part | $70.79 | $204.17 | $208.93 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $323.59 Typical High $331.13 | Professional | TC · Technical part | $112.20 | $323.59 | $331.13 |
BCBS Mississippi Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $426.58 | $426.58 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $141.25 Typical High $524.81 | Facility | None | $114.82 | $141.25 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $309.03 Typical High $416.87 | Professional | None (both parts) | $181.97 | $309.03 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $138.04 Typical High $186.21 | Professional | 26 · Professional part | $74.13 | $138.04 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $173.78 Typical High $245.47 | Professional | TC · Technical part | $109.65 | $173.78 | $245.47 |
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 $91.20 Median $316.23 Typical High $1,096.48 | Facility | None | $91.20 | $316.23 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $257.04 Typical High $512.86 | Professional | None (both parts) | $169.82 | $257.04 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $95.50 Typical High $169.82 | Professional | 26 · Professional part | $74.13 | $95.50 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $158.49 Typical High $323.59 | Professional | TC · Technical part | $95.50 | $158.49 | $323.59 |
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 $91.20 Median $269.15 Typical High $269.15 | Professional | 52 · Reduced service | $91.20 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $109.65 Typical High $109.65 | Professional | 53 · Discontinued | $36.31 | $109.65 | $109.65 |
Where Mississippi sits
The same service costs 5.2 times more in Wisconsin 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· 17th of 51
$331
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.