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 $263.03 Median $467.74 Typical High $851.14 | Facility | None | $263.03 | $467.74 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $467.74 Typical High $501.19 | Professional | None (both parts) | $263.03 | $467.74 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $120.23 Typical High $128.82 | Professional | 26 · Professional part | $67.61 | $120.23 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $346.74 Typical High $371.54 | Professional | TC · Technical part | $194.98 | $346.74 | $371.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | 26 · Professional part | $53.70 | $53.70 | $53.70 |
BCBS Mississippi Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $407.38 | Facility | None | $371.54 | $371.54 | $407.38 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None (both parts) | $489.78 | $489.78 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $346.74 Typical High $467.74 | Facility | None | $102.33 | $346.74 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $436.52 Typical High $588.84 | Professional | None (both parts) | $208.93 | $436.52 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $93.33 Typical High $107.15 | Professional | 26 · Professional part | $48.98 | $93.33 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $338.84 Typical High $501.19 | Professional | TC · Technical part | $158.49 | $338.84 | $501.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $190.55 | Professional | None (both parts) | $33.11 | $33.11 | $190.55 |
United Setting Facility Modifier None Typical Low $218.78 Median $316.23 Typical High $354.81 | Facility | None | $218.78 | $316.23 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $302.00 Typical High $645.65 | Professional | None (both parts) | $213.80 | $302.00 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $58.88 Typical High $117.49 | Professional | 26 · Professional part | $46.77 | $58.88 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $229.09 Typical High $489.78 | Professional | TC · Technical part | $165.96 | $229.09 | $489.78 |
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 $131.83 Median $234.42 Typical High $251.19 | Professional | 52 · Reduced service | $131.83 | $234.42 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $93.33 Typical High $100.00 | Professional | 53 · Discontinued | $52.48 | $93.33 | $100.00 |
Where Mississippi sits
The same service costs 5.0 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· 24th of 51
$372
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.