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 $489.78 Median $645.65 Typical High $1,023.29 | Facility | None | $489.78 | $645.65 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $616.60 Typical High $724.44 | Professional | None (both parts) | $446.68 | $616.60 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $138.04 Typical High $165.96 | Professional | 26 · Professional part | $102.33 | $138.04 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $467.74 Typical High $562.34 | Professional | TC · Technical part | $346.74 | $467.74 | $562.34 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $426.58 | Professional | None (both parts) | $269.15 | $269.15 | $426.58 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $67.61 | Professional | 26 · Professional part | $60.26 | $60.26 | $67.61 |
BCBS Mississippi Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $478.63 | Facility | None | $426.58 | $426.58 | $478.63 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None (both parts) | $575.44 | $575.44 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $478.63 Typical High $501.19 | Facility | None | $138.04 | $478.63 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $537.03 Typical High $812.83 | Professional | None (both parts) | $257.04 | $537.03 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $104.71 Typical High $117.49 | Professional | 26 · Professional part | $54.95 | $104.71 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $426.58 Typical High $707.95 | Professional | TC · Technical part | $199.53 | $426.58 | $707.95 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $234.42 | Professional | None (both parts) | $33.11 | $33.11 | $234.42 |
United Setting Facility Modifier None Typical Low $302.00 Median $436.52 Typical High $489.78 | Facility | None | $302.00 | $436.52 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $380.19 Typical High $870.96 | Professional | None (both parts) | $263.03 | $380.19 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $66.07 Typical High $134.90 | Professional | 26 · Professional part | $52.48 | $66.07 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $309.03 Typical High $741.31 | Professional | TC · Technical part | $208.93 | $309.03 | $741.31 |
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 $223.87 Median $302.00 Typical High $363.08 | Professional | 52 · Reduced service | $223.87 | $302.00 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $123.03 Typical High $144.54 | Professional | 53 · Discontinued | $89.13 | $123.03 | $144.54 |
Where Mississippi sits
The same service costs 5.1 times more in Wyoming 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· 25th of 51
$479
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.