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 $512.86 Median $645.65 Typical High $1,023.29 | Facility | None | $512.86 | $645.65 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $630.96 Typical High $758.58 | Professional | None (both parts) | $467.74 | $630.96 | $758.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $165.96 Typical High $199.53 | Professional | 26 · Professional part | $123.03 | $165.96 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $467.74 Typical High $549.54 | Professional | TC · Technical part | $338.84 | $467.74 | $549.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $275.42 | $275.42 | $275.42 |
BCBS Mississippi Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $794.33 | Facility | None | $707.95 | $707.95 | $794.33 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None (both parts) | $616.60 | $616.60 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $478.63 Typical High $741.31 | Facility | None | $251.19 | $478.63 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $575.44 Typical High $831.76 | Professional | None (both parts) | $263.03 | $575.44 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $125.89 Typical High $141.25 | Professional | 26 · Professional part | $66.07 | $125.89 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $446.68 Typical High $741.31 | Professional | TC · Technical part | $199.53 | $446.68 | $741.31 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $239.88 | Professional | None (both parts) | $33.11 | $33.11 | $239.88 |
United Setting Facility Modifier None Typical Low $977.24 Median $1,412.54 Typical High $1,584.89 | Facility | None | $977.24 | $1,412.54 | $1,584.89 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $407.38 Typical High $977.24 | Professional | None (both parts) | $275.42 | $407.38 | $977.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $79.43 Typical High $162.18 | Professional | 26 · Professional part | $63.10 | $79.43 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $316.23 Typical High $812.83 | Professional | TC · Technical part | $213.80 | $316.23 | $812.83 |
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 $257.04 Median $316.23 Typical High $371.54 | Professional | 52 · Reduced service | $257.04 | $316.23 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $125.89 Typical High $151.36 | Professional | 53 · Discontinued | $102.33 | $125.89 | $151.36 |
Where Mississippi sits
The same service costs 5.4 times more in Wyoming than in Texas. 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· 17th of 51
$575
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.