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 $524.81 Median $645.65 Typical High $1,023.29 | Facility | None | $524.81 | $645.65 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $691.83 Typical High $812.83 | Professional | None (both parts) | $512.86 | $691.83 | $812.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $186.21 Typical High $218.78 | Professional | 26 · Professional part | $134.90 | $186.21 | $218.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $501.19 Typical High $602.56 | Professional | TC · Technical part | $371.54 | $501.19 | $602.56 |
BCBS Mississippi Setting Facility Modifier None Typical Low $288.40 Median $302.00 Typical High $302.00 | Facility | None | $288.40 | $302.00 | $302.00 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $602.56 | $602.56 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $660.69 | Facility | None | $478.63 | $478.63 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $616.60 Typical High $870.96 | Professional | None (both parts) | $281.84 | $616.60 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $141.25 Typical High $154.88 | Professional | 26 · Professional part | $72.44 | $141.25 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $478.63 Typical High $724.44 | Professional | TC · Technical part | $213.80 | $478.63 | $724.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $263.03 | Professional | None (both parts) | $33.11 | $33.11 | $263.03 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $416.87 Typical High $954.99 | Professional | None (both parts) | $302.00 | $416.87 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $87.10 Typical High $181.97 | Professional | 26 · Professional part | $69.18 | $87.10 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $323.59 Typical High $741.31 | Professional | TC · Technical part | $229.09 | $323.59 | $741.31 |
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 $275.42 Median $346.74 Typical High $407.38 | Professional | 52 · Reduced service | $275.42 | $346.74 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $138.04 Typical High $162.18 | Professional | 53 · Discontinued | $112.20 | $138.04 | $162.18 |
Where Mississippi sits
The same service costs 5.6 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· 20th 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.