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 $251.19 Median $446.68 Typical High $851.14 | Facility | None | $251.19 | $446.68 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $446.68 Typical High $478.63 | Professional | None (both parts) | $251.19 | $446.68 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $117.49 Typical High $123.03 | Professional | 26 · Professional part | $64.57 | $117.49 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $338.84 Typical High $354.81 | Professional | TC · Technical part | $186.21 | $338.84 | $354.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $199.53 | $199.53 | $199.53 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $79.43 | Professional | 26 · Professional part | $51.29 | $51.29 | $79.43 |
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 $371.54 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $371.54 | $371.54 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $346.74 Typical High $416.87 | Facility | None | $102.33 | $346.74 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $346.74 Typical High $489.78 | Professional | None (both parts) | $190.55 | $346.74 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $91.20 Typical High $102.33 | Professional | 26 · Professional part | $46.77 | $91.20 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $257.04 Typical High $398.11 | Professional | TC · Technical part | $144.54 | $257.04 | $398.11 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $177.83 | Professional | None (both parts) | $33.11 | $33.11 | $177.83 |
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 $169.82 Median $239.88 Typical High $537.03 | Professional | None (both parts) | $169.82 | $239.88 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $56.23 Typical High $112.20 | Professional | 26 · Professional part | $45.71 | $56.23 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $190.55 Typical High $426.58 | Professional | TC · Technical part | $123.03 | $190.55 | $426.58 |
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 $125.89 Median $223.87 Typical High $239.88 | Professional | 52 · Reduced service | $125.89 | $223.87 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $91.20 Typical High $95.50 | Professional | 53 · Discontinued | $50.12 | $91.20 | $95.50 |
Where Mississippi sits
The same service costs 4.4 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· 18th of 51
$347
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.