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 $29.51 Median $29.51 Typical High $50.12 | Facility | None | $29.51 | $29.51 | $50.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $50.12 Typical High $64.57 | Professional | None (both parts) | $29.51 | $50.12 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $13.49 Typical High $17.38 | Professional | 26 · Professional part | $7.94 | $13.49 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $37.15 Typical High $46.77 | Professional | TC · Technical part | $21.38 | $37.15 | $46.77 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.99 Median $25.12 Typical High $25.12 | Professional | None (both parts) | $23.99 | $25.12 | $25.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | 26 · Professional part | $7.94 | $7.94 | $7.94 |
BCBS Mississippi Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $173.78 | Facility | None | $158.49 | $158.49 | $173.78 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None (both parts) | $41.69 | $41.69 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $93.33 Typical High $125.89 | Facility | None | $23.44 | $93.33 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $36.31 Typical High $50.12 | Professional | None (both parts) | $25.12 | $36.31 | $50.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $11.48 Typical High $15.14 | Professional | 26 · Professional part | $6.92 | $11.48 | $15.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $25.12 Typical High $34.67 | Professional | TC · Technical part | $19.05 | $25.12 | $34.67 |
Molina Setting Professional Modifier None (both parts) Typical Low $7.08 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $7.08 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $131.83 Median $190.55 Typical High $213.80 | Facility | None | $131.83 | $190.55 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $21.38 Median $30.90 Typical High $53.70 | Professional | None (both parts) | $21.38 | $30.90 | $53.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.51 Typical High $17.78 | Professional | 26 · Professional part | $6.76 | $8.51 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $21.88 Typical High $35.48 | Professional | TC · Technical part | $14.45 | $21.88 | $35.48 |
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 $14.79 Median $25.12 Typical High $32.36 | Professional | 52 · Reduced service | $14.79 | $25.12 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $10.00 Typical High $12.88 | Professional | 53 · Discontinued | $5.89 | $10.00 | $12.88 |
Where Mississippi sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 32nd of 51
$36.31
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.