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 $549.54 Typical High $645.65 | Professional | None (both parts) | $446.68 | $549.54 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $177.83 Typical High $208.93 | Professional | 26 · Professional part | $131.83 | $177.83 | $208.93 |
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 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $75.86 | $75.86 | $75.86 |
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 $851.14 Median $851.14 Typical High $851.14 | Professional | None (both parts) | $851.14 | $851.14 | $851.14 |
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 $223.87 Median $575.44 Typical High $891.25 | Professional | None (both parts) | $223.87 | $575.44 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $134.90 Typical High $151.36 | Professional | 26 · Professional part | $69.18 | $134.90 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $446.68 Typical High $812.83 | Professional | TC · Technical part | $158.49 | $446.68 | $812.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $208.93 | Professional | None (both parts) | $33.11 | $33.11 | $208.93 |
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 $275.42 Median $398.11 Typical High $977.24 | Professional | None (both parts) | $275.42 | $398.11 | $977.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $85.11 Typical High $173.78 | Professional | 26 · Professional part | $67.61 | $85.11 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $316.23 Typical High $812.83 | Professional | TC · Technical part | $194.98 | $316.23 | $812.83 |
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 $275.42 Typical High $323.59 | Professional | 52 · Reduced service | $223.87 | $275.42 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $109.65 Typical High $131.83 | Professional | 53 · Discontinued | $89.13 | $109.65 | $131.83 |
Where Mississippi sits
The same service costs 5.6 times more in Wyoming than in Texas. 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· 16th of 51
$550
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.