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 $41.69 Median $41.69 Typical High $72.44 | Facility | None | $41.69 | $41.69 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $72.44 Typical High $91.20 | Professional | None (both parts) | $41.69 | $72.44 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $21.88 Typical High $28.18 | Professional | 26 · Professional part | $12.59 | $21.88 | $28.18 |
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 |
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 $67.61 Median $67.61 Typical High $67.61 | Professional | None (both parts) | $67.61 | $67.61 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $93.33 Typical High $165.96 | Facility | None | $35.48 | $93.33 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $53.70 Typical High $72.44 | Professional | None (both parts) | $38.90 | $53.70 | $72.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $18.62 Typical High $24.55 | Professional | 26 · Professional part | $11.48 | $18.62 | $24.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $35.48 Typical High $46.77 | Professional | TC · Technical part | $26.30 | $35.48 | $46.77 |
Molina Setting Professional Modifier None (both parts) Typical Low $11.22 Median $33.11 Typical High $36.31 | Professional | None (both parts) | $11.22 | $33.11 | $36.31 |
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 $31.62 Median $44.67 Typical High $83.18 | Professional | None (both parts) | $31.62 | $44.67 | $83.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.80 Typical High $28.84 | Professional | 26 · Professional part | $10.96 | $13.80 | $28.84 |
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 $20.89 Median $36.31 Typical High $45.71 | Professional | 52 · Reduced service | $20.89 | $36.31 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $14.45 Typical High $18.20 | Professional | 53 · Discontinued | $8.32 | $14.45 | $18.20 |
Where Mississippi sits
The same service costs 4.1 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· 25th of 51
$56.23
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.