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 $26.92 Median $29.51 Typical High $50.12 | Facility | None | $26.92 | $29.51 | $50.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $50.12 Typical High $64.57 | Professional | None (both parts) | $29.51 | $50.12 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $15.14 Typical High $19.50 | Professional | 26 · Professional part | $8.91 | $15.14 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $34.67 Typical High $44.67 | Professional | TC · Technical part | $20.42 | $34.67 | $44.67 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $8.91 Typical High $8.91 | Professional | 26 · Professional part | $8.91 | $8.91 | $8.91 |
BCBS Mississippi Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $104.71 | Facility | None | $95.50 | $95.50 | $104.71 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None (both parts) | $52.48 | $52.48 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $67.61 Typical High $102.33 | Facility | None | $26.92 | $67.61 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $38.90 Typical High $51.29 | Professional | None (both parts) | $27.54 | $38.90 | $51.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $13.49 Typical High $17.78 | Professional | 26 · Professional part | $7.94 | $13.49 | $17.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $25.70 Typical High $35.48 | Professional | TC · Technical part | $18.20 | $25.70 | $35.48 |
Molina Setting Professional Modifier None (both parts) Typical Low $8.13 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $8.13 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $109.65 Median $158.49 Typical High $177.83 | Facility | None | $109.65 | $158.49 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $23.44 Median $31.62 Typical High $66.07 | Professional | None (both parts) | $23.44 | $31.62 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.00 Typical High $21.38 | Professional | 26 · Professional part | $7.94 | $10.00 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $21.38 Typical High $45.71 | Professional | TC · Technical part | $15.49 | $21.38 | $45.71 |
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 $14.79 Median $25.12 Typical High $32.36 | Professional | 52 · Reduced service | $14.79 | $25.12 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $10.00 Typical High $12.88 | Professional | 53 · Discontinued | $5.89 | $10.00 | $12.88 |
Where Mississippi sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 27th of 51
$39.81
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.