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 $39.81 Median $39.81 Typical High $67.61 | Facility | None | $39.81 | $39.81 | $67.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $67.61 Typical High $87.10 | Professional | None (both parts) | $39.81 | $67.61 | $87.10 |
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 $26.92 Median $45.71 Typical High $58.88 | Professional | TC · Technical part | $26.92 | $45.71 | $58.88 |
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 $12.30 Median $12.30 Typical High $13.80 | Professional | 26 · Professional part | $12.30 | $12.30 | $13.80 |
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 $77.62 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $77.62 | $77.62 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $97.72 Typical High $165.96 | Facility | None | $36.31 | $97.72 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $58.88 Typical High $77.62 | Professional | None (both parts) | $36.31 | $58.88 | $77.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $22.39 Typical High $30.20 | Professional | 26 · Professional part | $11.48 | $22.39 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $36.31 Typical High $48.98 | Professional | TC · Technical part | $25.12 | $36.31 | $48.98 |
Molina Setting Professional Modifier None (both parts) Typical Low $11.22 Median $33.11 Typical High $34.67 | Professional | None (both parts) | $11.22 | $33.11 | $34.67 |
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 $34.67 Median $42.66 Typical High $89.13 | Professional | None (both parts) | $34.67 | $42.66 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $15.14 Typical High $31.62 | Professional | 26 · Professional part | $13.49 | $15.14 | $31.62 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $28.18 Typical High $60.26 | Professional | TC · Technical part | $21.38 | $28.18 | $60.26 |
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 $19.50 Median $33.88 Typical High $43.65 | Professional | 52 · Reduced service | $19.50 | $33.88 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $13.49 Typical High $17.38 | Professional | 53 · Discontinued | $7.94 | $13.49 | $17.38 |
Where Mississippi sits
The same service costs 4.0 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· 18th of 51
$60.26
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.