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 $38.02 Median $40.74 Typical High $70.79 | Facility | None | $38.02 | $40.74 | $70.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $70.79 Typical High $89.13 | Professional | None (both parts) | $40.74 | $70.79 | $89.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $20.42 Typical High $25.70 | Professional | 26 · Professional part | $11.75 | $20.42 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $50.12 Typical High $64.57 | Professional | TC · Technical part | $29.51 | $50.12 | $64.57 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None (both parts) | $41.69 | $41.69 | $41.69 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $11.75 Typical High $13.18 | Professional | 26 · Professional part | $11.75 | $11.75 | $13.18 |
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 $64.57 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $64.57 | $64.57 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $97.72 Typical High $165.96 | Facility | None | $34.67 | $97.72 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $52.48 Typical High $70.79 | Professional | None (both parts) | $37.15 | $52.48 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $16.98 Typical High $23.44 | Professional | 26 · Professional part | $10.72 | $16.98 | $23.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $35.48 Typical High $47.86 | Professional | TC · Technical part | $26.30 | $35.48 | $47.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $10.47 Median $33.11 Typical High $35.48 | Professional | None (both parts) | $10.47 | $33.11 | $35.48 |
United Setting Facility Modifier None Typical Low $131.83 Median $190.55 Typical High $213.80 | Facility | None | $131.83 | $190.55 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $30.90 Median $44.67 Typical High $81.28 | Professional | None (both parts) | $30.90 | $44.67 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.88 Typical High $26.30 | Professional | 26 · Professional part | $10.23 | $12.88 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $30.90 Typical High $54.95 | Professional | TC · Technical part | $20.89 | $30.90 | $54.95 |
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 $20.42 Median $35.48 Typical High $44.67 | Professional | 52 · Reduced service | $20.42 | $35.48 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $14.13 Typical High $17.78 | Professional | 53 · Discontinued | $8.13 | $14.13 | $17.78 |
Where Mississippi sits
The same service costs 4.2 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· 31st of 51
$52.48
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.