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 $446.68 Median $645.65 Typical High $1,023.29 | Facility | None | $446.68 | $645.65 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $562.34 Typical High $660.69 | Professional | None (both parts) | $446.68 | $562.34 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $181.97 Typical High $218.78 | Professional | 26 · Professional part | $134.90 | $181.97 | $218.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $371.54 Typical High $446.68 | Professional | TC · Technical part | $302.00 | $371.54 | $446.68 |
BCBS Mississippi Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $794.33 | Facility | None | $707.95 | $707.95 | $794.33 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None (both parts) | $870.96 | $870.96 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $478.63 Typical High $741.31 | Facility | None | $199.53 | $478.63 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $489.78 Typical High $831.76 | Professional | None (both parts) | $229.09 | $489.78 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $144.54 Typical High $154.88 | Professional | 26 · Professional part | $72.44 | $144.54 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $346.74 Typical High $707.95 | Professional | TC · Technical part | $158.49 | $346.74 | $707.95 |
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 $436.52 Median $630.96 Typical High $707.95 | Facility | None | $436.52 | $630.96 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $371.54 Typical High $977.24 | Professional | None (both parts) | $239.88 | $371.54 | $977.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $89.13 Typical High $190.55 | Professional | 26 · Professional part | $69.18 | $89.13 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $269.15 Typical High $794.33 | Professional | TC · Technical part | $169.82 | $269.15 | $794.33 |
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 $223.87 Median $281.84 Typical High $331.13 | Professional | 52 · Reduced service | $223.87 | $281.84 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $112.20 Typical High $131.83 | Professional | 53 · Discontinued | $89.13 | $112.20 | $131.83 |
Where Mississippi sits
The same service costs 5.8 times more in Wyoming 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
$490
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.