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 $95.50 Median $95.50 Typical High $162.18 | Facility | None | $95.50 | $95.50 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $162.18 Typical High $208.93 | Professional | None (both parts) | $95.50 | $162.18 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $69.18 Typical High $89.13 | Professional | 26 · Professional part | $40.74 | $69.18 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $93.33 Typical High $117.49 | Professional | TC · Technical part | $53.70 | $93.33 | $117.49 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,148.15 | Facility | None | $1,047.13 | $1,047.13 | $1,148.15 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $263.03 | $263.03 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $645.65 Typical High $1,071.52 | Facility | None | $57.54 | $645.65 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $151.36 Typical High $251.19 | Professional | None (both parts) | $89.13 | $151.36 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $60.26 Typical High $81.28 | Professional | 26 · Professional part | $36.31 | $60.26 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $91.20 Typical High $162.18 | Professional | TC · Technical part | $52.48 | $91.20 | $162.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $83.18 | Professional | None (both parts) | $33.11 | $33.11 | $83.18 |
United Setting Facility Modifier None Typical Low $977.24 Median $1,412.54 Typical High $1,584.89 | Facility | None | $977.24 | $1,412.54 | $1,584.89 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $123.03 Typical High $281.84 | Professional | None (both parts) | $89.13 | $123.03 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $46.77 Typical High $91.20 | Professional | 26 · Professional part | $35.48 | $46.77 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $66.07 Typical High $199.53 | Professional | TC · Technical part | $54.95 | $66.07 | $199.53 |
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 $46.77 Median $81.28 Typical High $104.71 | Professional | 52 · Reduced service | $46.77 | $81.28 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $32.36 Typical High $41.69 | Professional | 53 · Discontinued | $19.05 | $32.36 | $41.69 |
Where Mississippi sits
The same service costs 4.6 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· 22nd of 51
$158
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.