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 $295.12 Median $478.63 Typical High $851.14 | Facility | None | $295.12 | $478.63 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $524.81 Typical High $562.34 | Professional | None (both parts) | $295.12 | $524.81 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $173.78 Typical High $186.21 | Professional | 26 · Professional part | $97.72 | $173.78 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $346.74 Typical High $371.54 | Professional | TC · Technical part | $194.98 | $346.74 | $371.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $245.47 | $245.47 | $245.47 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $85.11 | Professional | 26 · Professional part | $75.86 | $75.86 | $85.11 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $186.21 | Professional | TC · Technical part | $165.96 | $165.96 | $186.21 |
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 $724.44 Median $724.44 Typical High $724.44 | Professional | None (both parts) | $724.44 | $724.44 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $346.74 Typical High $489.78 | Facility | None | $102.33 | $346.74 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $549.54 Typical High $912.01 | Professional | None (both parts) | $234.42 | $549.54 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $138.04 Typical High $151.36 | Professional | 26 · Professional part | $70.79 | $138.04 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $380.19 Typical High $776.25 | Professional | TC · Technical part | $162.18 | $380.19 | $776.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $213.80 | Professional | None (both parts) | $33.11 | $33.11 | $213.80 |
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 $263.03 Median $371.54 Typical High $812.83 | Professional | None (both parts) | $263.03 | $371.54 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $85.11 Typical High $169.82 | Professional | 26 · Professional part | $67.61 | $85.11 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $263.03 Typical High $676.08 | Professional | TC · Technical part | $181.97 | $263.03 | $676.08 |
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 $147.91 Median $263.03 Typical High $281.84 | Professional | 52 · Reduced service | $147.91 | $263.03 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $104.71 Typical High $112.20 | Professional | 53 · Discontinued | $58.88 | $104.71 | $112.20 |
Where Mississippi sits
The same service costs 5.9 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· 25th of 51
$427
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.