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 $32.36 Median $32.36 Typical High $83.18 | Facility | None | $32.36 | $32.36 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $53.70 Typical High $83.18 | Professional | None (both parts) | $32.36 | $53.70 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $31.62 Typical High $50.12 | Professional | 26 · Professional part | $19.95 | $31.62 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $21.38 Typical High $32.36 | Professional | TC · Technical part | $12.88 | $21.38 | $32.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $46.77 Median $53.70 Typical High $66.07 | Professional | None (both parts) | $46.77 | $53.70 | $66.07 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $32.36 Typical High $38.02 | Professional | 26 · Professional part | $26.92 | $32.36 | $38.02 |
BCBS Mississippi Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $79.43 | $79.43 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $22.39 Typical High $478.63 | Facility | None | $19.50 | $22.39 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $58.88 Typical High $93.33 | Professional | None (both parts) | $42.66 | $58.88 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.02 Typical High $57.54 | Professional | 26 · Professional part | $26.92 | $38.02 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $21.38 Typical High $34.67 | Professional | TC · Technical part | $16.22 | $21.38 | $34.67 |
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 $41.69 Median $48.98 Typical High $97.72 | Professional | None (both parts) | $41.69 | $48.98 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $31.62 Typical High $60.26 | Professional | 26 · Professional part | $27.54 | $31.62 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $16.22 Typical High $37.15 | Professional | TC · Technical part | $13.80 | $16.22 | $37.15 |
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 $16.22 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $16.22 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $6.46 | $16.60 | $16.60 |
Where Mississippi sits
The same service costs 6.5 times more in Minnesota than in Kentucky. 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· 19th of 51
$69.18
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.