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 $53.70 Median $53.70 Typical High $93.33 | Facility | None | $53.70 | $53.70 | $93.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $93.33 Typical High $117.49 | Professional | None (both parts) | $53.70 | $93.33 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $27.54 Typical High $35.48 | Professional | 26 · Professional part | $16.22 | $27.54 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $64.57 Typical High $83.18 | Professional | TC · Technical part | $38.02 | $64.57 | $83.18 |
BCBS Mississippi Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $173.78 | Facility | None | $158.49 | $158.49 | $173.78 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None (both parts) | $69.18 | $69.18 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $165.96 Typical High $478.63 | Facility | None | $34.67 | $165.96 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $67.61 Typical High $87.10 | Professional | None (both parts) | $43.65 | $67.61 | $87.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $23.44 Typical High $30.90 | Professional | 26 · Professional part | $14.79 | $23.44 | $30.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $44.67 Typical High $56.23 | Professional | TC · Technical part | $29.51 | $44.67 | $56.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $14.13 Median $33.11 Typical High $46.77 | Professional | None (both parts) | $14.13 | $33.11 | $46.77 |
United Setting Facility Modifier None Typical Low $691.83 Median $1,000.00 Typical High $1,122.02 | Facility | None | $691.83 | $1,000.00 | $1,122.02 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $52.48 Typical High $87.10 | Professional | None (both parts) | $38.90 | $52.48 | $87.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.98 Typical High $34.67 | Professional | 26 · Professional part | $13.80 | $16.98 | $34.67 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $35.48 Typical High $52.48 | Professional | TC · Technical part | $23.44 | $35.48 | $52.48 |
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 $26.92 Median $46.77 Typical High $58.88 | Professional | 52 · Reduced service | $26.92 | $46.77 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $18.62 Typical High $23.44 | Professional | 53 · Discontinued | $10.72 | $18.62 | $23.44 |
Where Mississippi sits
The same service costs 5.6 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· 23rd 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.