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 $251.19 Median $446.68 Typical High $851.14 | Facility | None | $251.19 | $446.68 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $446.68 Typical High $467.74 | Professional | None (both parts) | $251.19 | $446.68 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $162.18 Typical High $173.78 | Professional | 26 · Professional part | $91.20 | $162.18 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $281.84 Typical High $302.00 | Professional | TC · Technical part | $158.49 | $281.84 | $302.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $194.98 | $194.98 | $194.98 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $109.65 | Professional | 26 · Professional part | $70.79 | $70.79 | $109.65 |
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 $512.86 Median $512.86 Typical High $512.86 | Professional | None (both parts) | $512.86 | $512.86 | $512.86 |
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 $186.21 Median $398.11 Typical High $588.84 | Professional | None (both parts) | $186.21 | $398.11 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $112.20 Typical High $141.25 | Professional | 26 · Professional part | $64.57 | $112.20 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $281.84 Typical High $478.63 | Professional | TC · Technical part | $123.03 | $281.84 | $478.63 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $173.78 | Professional | None (both parts) | $33.11 | $33.11 | $173.78 |
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 $208.93 Median $269.15 Typical High $616.60 | Professional | None (both parts) | $208.93 | $269.15 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $79.43 Typical High $141.25 | Professional | 26 · Professional part | $56.23 | $79.43 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $199.53 Typical High $467.74 | Professional | TC · Technical part | $141.25 | $199.53 | $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 $123.03 Median $223.87 Typical High $234.42 | Professional | 52 · Reduced service | $123.03 | $223.87 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $89.13 Typical High $95.50 | Professional | 53 · Discontinued | $50.12 | $89.13 | $95.50 |
Where Mississippi sits
The same service costs 6.3 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· 22nd of 51
$372
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.