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 $25.70 Median $28.18 Typical High $48.98 | Facility | None | $25.70 | $28.18 | $48.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $48.98 Typical High $61.66 | Professional | None (both parts) | $28.18 | $48.98 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $13.49 Typical High $17.38 | Professional | 26 · Professional part | $7.94 | $13.49 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $34.67 Typical High $44.67 | Professional | TC · Technical part | $20.42 | $34.67 | $44.67 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None (both parts) | $22.91 | $22.91 | $22.91 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $14.13 Typical High $14.13 | Professional | TC · Technical part | $14.13 | $14.13 | $14.13 |
BCBS Mississippi Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $104.71 | Facility | None | $95.50 | $95.50 | $104.71 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None (both parts) | $46.77 | $46.77 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $67.61 Typical High $102.33 | Facility | None | $25.12 | $67.61 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $38.02 Typical High $51.29 | Professional | None (both parts) | $26.30 | $38.02 | $51.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $11.48 Typical High $15.14 | Professional | 26 · Professional part | $7.08 | $11.48 | $15.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $26.30 Typical High $35.48 | Professional | TC · Technical part | $19.05 | $26.30 | $35.48 |
Molina Setting Professional Modifier None (both parts) Typical Low $7.08 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $7.08 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $109.65 Median $158.49 Typical High $177.83 | Facility | None | $109.65 | $158.49 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $22.39 Median $29.51 Typical High $61.66 | Professional | None (both parts) | $22.39 | $29.51 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.51 Typical High $17.38 | Professional | 26 · Professional part | $6.76 | $8.51 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $21.38 Typical High $43.65 | Professional | TC · Technical part | $15.49 | $21.38 | $43.65 |
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 $14.13 Median $24.55 Typical High $30.90 | Professional | 52 · Reduced service | $14.13 | $24.55 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $9.77 Typical High $12.30 | Professional | 53 · Discontinued | $5.62 | $9.77 | $12.30 |
Where Mississippi sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 29th of 51
$38.02
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.