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 $177.83 Median $446.68 Typical High $851.14 | Facility | None | $177.83 | $446.68 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $323.59 Typical High $338.84 | Professional | None (both parts) | $177.83 | $323.59 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $128.82 Typical High $138.04 | Professional | 26 · Professional part | $72.44 | $128.82 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $194.98 Typical High $218.78 | Professional | TC · Technical part | $107.15 | $194.98 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $229.09 | Professional | None (both parts) | $141.25 | $141.25 | $229.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $63.10 | Professional | 26 · Professional part | $56.23 | $56.23 | $63.10 |
BCBS Mississippi Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $194.98 | Facility | None | $177.83 | $177.83 | $194.98 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None (both parts) | $389.05 | $389.05 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $208.93 Typical High $346.74 | Facility | None | $60.26 | $208.93 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $371.54 Typical High $457.09 | Professional | None (both parts) | $134.90 | $371.54 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $100.00 Typical High $120.23 | Professional | 26 · Professional part | $51.29 | $100.00 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $269.15 Typical High $363.08 | Professional | TC · Technical part | $83.18 | $269.15 | $363.08 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $125.89 | Professional | None (both parts) | $33.11 | $33.11 | $125.89 |
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 $181.97 Median $223.87 Typical High $467.74 | Professional | None (both parts) | $181.97 | $223.87 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $61.66 Typical High $123.03 | Professional | 26 · Professional part | $50.12 | $61.66 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $151.36 Typical High $338.84 | Professional | TC · Technical part | $117.49 | $151.36 | $338.84 |
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 $89.13 Median $162.18 Typical High $169.82 | Professional | 52 · Reduced service | $89.13 | $162.18 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $64.57 Typical High $67.61 | Professional | 53 · Discontinued | $36.31 | $64.57 | $67.61 |
Where Mississippi sits
The same service costs 6.2 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· 23rd of 51
$257
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.