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 $114.82 Median $114.82 Typical High $194.98 | Facility | None | $114.82 | $114.82 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $194.98 Typical High $251.19 | Professional | None (both parts) | $114.82 | $194.98 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $43.65 Typical High $56.23 | Professional | 26 · Professional part | $25.70 | $43.65 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $151.36 Typical High $194.98 | Professional | TC · Technical part | $89.13 | $151.36 | $194.98 |
BCBS Mississippi Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $331.13 | Facility | None | $302.00 | $302.00 | $331.13 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $162.18 | $162.18 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $316.23 Typical High $588.84 | Facility | None | $87.10 | $316.23 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $134.90 Typical High $190.55 | Professional | None (both parts) | $95.50 | $134.90 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $37.15 Typical High $48.98 | Professional | 26 · Professional part | $22.91 | $37.15 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $97.72 Typical High $141.25 | Professional | TC · Technical part | $77.62 | $97.72 | $141.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $22.91 Median $33.11 Typical High $100.00 | Professional | None (both parts) | $22.91 | $33.11 | $100.00 |
United Setting Facility Modifier None Typical Low $436.52 Median $630.96 Typical High $707.95 | Facility | None | $436.52 | $630.96 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $114.82 Typical High $169.82 | Professional | None (both parts) | $79.43 | $114.82 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $27.54 Typical High $56.23 | Professional | 26 · Professional part | $21.88 | $27.54 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $87.10 Typical High $125.89 | Professional | TC · Technical part | $53.70 | $87.10 | $125.89 |
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 $57.54 Median $97.72 Typical High $125.89 | Professional | 52 · Reduced service | $57.54 | $97.72 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $38.90 Typical High $50.12 | Professional | 53 · Discontinued | $22.91 | $38.90 | $50.12 |
Where Mississippi sits
The same service costs 4.2 times more in Alaska than in New York. 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· 27th of 51
$141
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.