How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $524.81 Median $645.65 Typical High $1,174.90 | Facility | None | $524.81 | $645.65 | $1,174.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,202.26 Typical High $1,445.44 | Professional | None (both parts) | $891.25 | $1,202.26 | $1,445.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $323.59 Typical High $389.05 | Professional | 26 · Professional part | $239.88 | $323.59 | $389.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $1,096.48 Typical High $1,318.26 | Professional | TC · Technical part | $812.83 | $1,096.48 | $1,318.26 |
BCBS Mississippi Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
BCBS Mississippi 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 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $478.63 Typical High $501.19 | Facility | None | $316.23 | $478.63 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,862.09 Typical High $2,041.74 | Professional | None (both parts) | $1,096.48 | $1,862.09 | $2,041.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $218.78 Typical High $269.15 | Professional | 26 · Professional part | $128.82 | $218.78 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $1,659.59 Typical High $1,862.09 | Professional | TC · Technical part | $954.99 | $1,659.59 | $1,862.09 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $549.54 | Professional | None (both parts) | $33.11 | $33.11 | $549.54 |
United Setting Facility Modifier None Typical Low $691.83 Median $1,000.00 Typical High $1,122.02 | Facility | None | $691.83 | $1,000.00 | $1,122.02 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $562.34 Typical High $776.25 | Professional | None (both parts) | $316.23 | $562.34 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $158.49 Typical High $302.00 | Professional | 26 · Professional part | $123.03 | $158.49 | $302.00 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $354.81 Typical High $524.81 | Professional | TC · Technical part | $199.53 | $354.81 | $524.81 |
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 $446.68 Median $602.56 Typical High $707.95 | Professional | 52 · Reduced service | $446.68 | $602.56 | $707.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $239.88 Typical High $288.40 | Professional | 53 · Discontinued | $177.83 | $239.88 | $288.40 |
Where Mississippi sits
The same service costs 12.3 times more in Wyoming than in Hawaii. 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· 31st of 51
$692
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.