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 $501.19 Median $645.65 Typical High $1,023.29 | Facility | None | $501.19 | $645.65 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $616.60 Typical High $724.44 | Professional | None (both parts) | $478.63 | $616.60 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $177.83 Typical High $208.93 | Professional | 26 · Professional part | $128.82 | $177.83 | $208.93 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $436.52 Typical High $524.81 | Professional | TC · Technical part | $338.84 | $436.52 | $524.81 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $75.86 | $75.86 | $75.86 |
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 $794.33 Median $794.33 Typical High $794.33 | Professional | None (both parts) | $794.33 | $794.33 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $478.63 Typical High $741.31 | Facility | None | $204.17 | $478.63 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $645.65 Typical High $977.24 | Professional | None (both parts) | $257.04 | $645.65 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $134.90 Typical High $151.36 | Professional | 26 · Professional part | $69.18 | $134.90 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $467.74 Typical High $851.14 | Professional | TC · Technical part | $186.21 | $467.74 | $851.14 |
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 $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 $316.23 Median $436.52 Typical High $1,047.13 | Professional | None (both parts) | $316.23 | $436.52 | $1,047.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $85.11 Typical High $173.78 | Professional | 26 · Professional part | $67.61 | $85.11 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $371.54 Typical High $891.25 | Professional | TC · Technical part | $229.09 | $371.54 | $891.25 |
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 $245.47 Median $309.03 Typical High $363.08 | Professional | 52 · Reduced service | $245.47 | $309.03 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $123.03 Typical High $147.91 | Professional | 53 · Discontinued | $100.00 | $123.03 | $147.91 |
Where Mississippi sits
The same service costs 5.6 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· 14th of 51
$617
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.