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 $426.58 Median $645.65 Typical High $1,023.29 | Facility | None | $426.58 | $645.65 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $537.03 Typical High $630.96 | Professional | None (both parts) | $426.58 | $537.03 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $151.36 Typical High $177.83 | Professional | 26 · Professional part | $109.65 | $151.36 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $380.19 Typical High $457.09 | Professional | TC · Technical part | $309.03 | $380.19 | $457.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $229.09 | $229.09 | $229.09 |
BCBS Mississippi Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $478.63 | Facility | None | $426.58 | $426.58 | $478.63 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None (both parts) | $676.08 | $676.08 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $478.63 Typical High $501.19 | Facility | None | $138.04 | $478.63 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $478.63 Typical High $707.95 | Professional | None (both parts) | $223.87 | $478.63 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $114.82 Typical High $128.82 | Professional | 26 · Professional part | $58.88 | $114.82 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $363.08 Typical High $616.60 | Professional | TC · Technical part | $162.18 | $363.08 | $616.60 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $204.17 | Professional | None (both parts) | $33.11 | $33.11 | $204.17 |
United Setting Facility Modifier None Typical Low $302.00 Median $436.52 Typical High $489.78 | Facility | None | $302.00 | $436.52 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $346.74 Typical High $831.76 | Professional | None (both parts) | $234.42 | $346.74 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $72.44 Typical High $147.91 | Professional | 26 · Professional part | $57.54 | $72.44 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $263.03 Typical High $707.95 | Professional | TC · Technical part | $173.78 | $263.03 | $707.95 |
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 $213.80 Median $269.15 Typical High $316.23 | Professional | 52 · Reduced service | $213.80 | $269.15 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $107.15 Typical High $125.89 | Professional | 53 · Discontinued | $85.11 | $107.15 | $125.89 |
Where Mississippi sits
The same service costs 5.5 times more in Wyoming 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
$447
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.