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 $208.93 Median $446.68 Typical High $851.14 | Facility | None | $208.93 | $446.68 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $371.54 Typical High $389.05 | Professional | None (both parts) | $208.93 | $371.54 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $125.89 Typical High $134.90 | Professional | 26 · Professional part | $70.79 | $125.89 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $245.47 Typical High $257.04 | Professional | TC · Technical part | $134.90 | $245.47 | $257.04 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $131.83 | $131.83 | $131.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $56.23 | $56.23 | $56.23 |
BCBS Mississippi Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $407.38 | Facility | None | $371.54 | $371.54 | $407.38 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $501.19 | $501.19 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $346.74 Typical High $467.74 | Facility | None | $102.33 | $346.74 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $389.05 Typical High $588.84 | Professional | None (both parts) | $154.88 | $389.05 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $109.65 Typical High $114.82 | Professional | 26 · Professional part | $51.29 | $109.65 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $257.04 Typical High $478.63 | Professional | TC · Technical part | $104.71 | $257.04 | $478.63 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $144.54 | Professional | None (both parts) | $33.11 | $33.11 | $144.54 |
United Setting Facility Modifier None Typical Low $218.78 Median $316.23 Typical High $354.81 | Facility | None | $218.78 | $316.23 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $257.04 Typical High $602.56 | Professional | None (both parts) | $181.97 | $257.04 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $64.57 Typical High $128.82 | Professional | 26 · Professional part | $54.95 | $64.57 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $169.82 Typical High $467.74 | Professional | TC · Technical part | $120.23 | $169.82 | $467.74 |
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 $102.33 Median $186.21 Typical High $194.98 | Professional | 52 · Reduced service | $102.33 | $186.21 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $74.13 Typical High $77.62 | Professional | 53 · Discontinued | $41.69 | $74.13 | $77.62 |
Where Mississippi sits
The same service costs 5.1 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· 20th of 51
$347
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.