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 $35.48 Median $38.90 Typical High $67.61 | Facility | None | $35.48 | $38.90 | $67.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $67.61 Typical High $85.11 | Professional | None (both parts) | $38.90 | $67.61 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $19.05 Typical High $24.55 | Professional | 26 · Professional part | $11.22 | $19.05 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $47.86 Typical High $61.66 | Professional | TC · Technical part | $28.18 | $47.86 | $61.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None (both parts) | $89.13 | $89.13 | $89.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | 26 · Professional part | $10.96 | $10.96 | $10.96 |
BCBS Mississippi Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $173.78 | Facility | None | $158.49 | $158.49 | $173.78 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None (both parts) | $67.61 | $67.61 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $93.33 Typical High $165.96 | Facility | None | $39.81 | $93.33 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $54.95 Typical High $67.61 | Professional | None (both parts) | $35.48 | $54.95 | $67.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $14.45 Typical High $19.05 | Professional | 26 · Professional part | $10.00 | $14.45 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $39.81 Typical High $51.29 | Professional | TC · Technical part | $25.12 | $39.81 | $51.29 |
Molina Setting Professional Modifier None (both parts) Typical Low $9.77 Median $33.11 Typical High $33.88 | Professional | None (both parts) | $9.77 | $33.11 | $33.88 |
United Setting Facility Modifier None Typical Low $131.83 Median $190.55 Typical High $213.80 | Facility | None | $131.83 | $190.55 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $32.36 Median $41.69 Typical High $87.10 | Professional | None (both parts) | $32.36 | $41.69 | $87.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $12.02 Typical High $22.39 | Professional | 26 · Professional part | $8.51 | $12.02 | $22.39 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $29.51 Typical High $61.66 | Professional | TC · Technical part | $23.99 | $29.51 | $61.66 |
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 $19.50 Median $33.88 Typical High $42.66 | Professional | 52 · Reduced service | $19.50 | $33.88 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $13.49 Typical High $17.38 | Professional | 53 · Discontinued | $7.76 | $13.49 | $17.38 |
Where Mississippi sits
The same service costs 3.9 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· 24th of 51
$54.95
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.