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 $19.05 Median $20.89 Typical High $33.11 | Facility | None | $19.05 | $20.89 | $33.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $19.05 Median $33.11 Typical High $41.69 | Professional | None (both parts) | $19.05 | $33.11 | $41.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $12.02 Typical High $15.14 | Professional | 26 · Professional part | $6.92 | $12.02 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $20.89 Typical High $26.92 | Professional | TC · Technical part | $12.30 | $20.89 | $26.92 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $13.18 Median $19.50 Typical High $19.50 | Professional | None (both parts) | $13.18 | $19.50 | $19.50 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $6.92 Typical High $7.76 | Professional | 26 · Professional part | $6.92 | $6.92 | $7.76 |
BCBS Mississippi Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $104.71 | Facility | None | $95.50 | $95.50 | $104.71 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None (both parts) | $38.02 | $38.02 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $67.61 Typical High $102.33 | Facility | None | $18.62 | $67.61 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $29.51 Typical High $38.02 | Professional | None (both parts) | $17.78 | $29.51 | $38.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $10.00 Typical High $13.80 | Professional | 26 · Professional part | $6.31 | $10.00 | $13.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $19.05 Typical High $24.55 | Professional | TC · Technical part | $11.48 | $19.05 | $24.55 |
Molina Setting Professional Modifier None (both parts) Typical Low $6.31 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $6.31 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $109.65 Median $158.49 Typical High $177.83 | Facility | None | $109.65 | $158.49 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $17.38 Median $20.42 Typical High $43.65 | Professional | None (both parts) | $17.38 | $20.42 | $43.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $7.59 Typical High $15.85 | Professional | 26 · Professional part | $6.03 | $7.59 | $15.85 |
United Setting Professional Modifier TC · Technical part Typical Low $11.22 Median $13.18 Typical High $27.54 | Professional | TC · Technical part | $11.22 | $13.18 | $27.54 |
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 $9.55 Median $16.60 Typical High $20.89 | Professional | 52 · Reduced service | $9.55 | $16.60 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $6.61 Typical High $8.32 | Professional | 53 · Discontinued | $3.80 | $6.61 | $8.32 |
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· 21st of 51
$29.51
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.