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 $97.72 Median $97.72 Typical High $169.82 | Facility | None | $97.72 | $97.72 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $169.82 Typical High $213.80 | Professional | None (both parts) | $97.72 | $169.82 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $64.57 Typical High $83.18 | Professional | 26 · Professional part | $37.15 | $64.57 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $104.71 Typical High $131.83 | Professional | TC · Technical part | $60.26 | $104.71 | $131.83 |
BCBS Mississippi Setting Facility Modifier None Typical Low $2,951.21 Median $4,265.80 Typical High $4,265.80 | Facility | None | $2,951.21 | $4,265.80 | $4,265.80 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $288.40 | $288.40 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $1,584.89 Typical High $5,754.40 | Facility | None | $64.57 | $1,584.89 | $5,754.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $123.03 Typical High $295.12 | Professional | None (both parts) | $91.20 | $123.03 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $56.23 Typical High $74.13 | Professional | 26 · Professional part | $33.88 | $56.23 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $66.07 Typical High $218.78 | Professional | TC · Technical part | $53.70 | $66.07 | $218.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $85.11 | Professional | None (both parts) | $33.11 | $33.11 | $85.11 |
United Setting Facility Modifier None Typical Low $2,454.71 Median $3,548.13 Typical High $3,981.07 | Facility | None | $2,454.71 | $3,548.13 | $3,981.07 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $117.49 Typical High $371.54 | Professional | None (both parts) | $72.44 | $117.49 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $41.69 Typical High $83.18 | Professional | 26 · Professional part | $33.88 | $41.69 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $67.61 Typical High $302.00 | Professional | TC · Technical part | $39.81 | $67.61 | $302.00 |
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 $48.98 Median $85.11 Typical High $107.15 | Professional | 52 · Reduced service | $48.98 | $85.11 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $33.88 Typical High $42.66 | Professional | 53 · Discontinued | $19.50 | $33.88 | $42.66 |
Where Mississippi sits
The same service costs 4.0 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· 22nd of 51
$162
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.