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 $218.78 Median $446.68 Typical High $851.14 | Facility | None | $218.78 | $446.68 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $398.11 Typical High $416.87 | Professional | None (both parts) | $218.78 | $398.11 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $125.89 Typical High $134.90 | Professional | 26 · Professional part | $70.79 | $125.89 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $269.15 Typical High $281.84 | Professional | TC · Technical part | $147.91 | $269.15 | $281.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $398.11 | $398.11 | $398.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $54.95 | $54.95 | $54.95 |
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 $562.34 Median $562.34 Typical High $562.34 | Professional | None (both parts) | $562.34 | $562.34 | $562.34 |
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 $165.96 Median $416.87 Typical High $630.96 | Professional | None (both parts) | $165.96 | $416.87 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $100.00 Typical High $109.65 | Professional | 26 · Professional part | $51.29 | $100.00 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $316.23 Typical High $512.86 | Professional | TC · Technical part | $114.82 | $316.23 | $512.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $154.88 | Professional | None (both parts) | $33.11 | $33.11 | $154.88 |
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 $204.17 Median $263.03 Typical High $691.83 | Professional | None (both parts) | $204.17 | $263.03 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $61.66 Typical High $123.03 | Professional | 26 · Professional part | $48.98 | $61.66 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $213.80 Typical High $562.34 | Professional | TC · Technical part | $144.54 | $213.80 | $562.34 |
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 $109.65 Median $194.98 Typical High $208.93 | Professional | 52 · Reduced service | $109.65 | $194.98 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $79.43 Typical High $83.18 | Professional | 53 · Discontinued | $43.65 | $79.43 | $83.18 |
Where Mississippi sits
The same service costs 5.2 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· 21st 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.