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 $489.78 Typical High $831.76 | Facility | None | $489.78 | $489.78 | $831.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $831.76 Typical High $1,071.52 | Professional | None (both parts) | $489.78 | $831.76 | $1,071.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $35.48 Typical High $45.71 | Professional | 26 · Professional part | $20.89 | $35.48 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $831.76 Typical High $1,047.13 | Professional | TC · Technical part | $478.63 | $831.76 | $1,047.13 |
BCBS Mississippi Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $602.56 | Facility | None | $549.54 | $549.54 | $602.56 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $109.65 | $109.65 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $426.58 Typical High $831.76 | Facility | None | $61.66 | $426.58 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $74.13 Typical High $112.20 | Professional | None (both parts) | $44.67 | $74.13 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $30.90 Typical High $40.74 | Professional | 26 · Professional part | $18.62 | $30.90 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $42.66 Typical High $75.86 | Professional | TC · Technical part | $25.70 | $42.66 | $75.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $18.62 Median $33.11 Typical High $436.52 | Professional | None (both parts) | $18.62 | $33.11 | $436.52 |
United Setting Facility Modifier None Typical Low $691.83 Median $1,000.00 Typical High $1,122.02 | Facility | None | $691.83 | $1,000.00 | $1,122.02 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $436.52 Typical High $602.56 | Professional | None (both parts) | $58.88 | $436.52 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $22.91 Typical High $47.86 | Professional | 26 · Professional part | $18.62 | $22.91 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $426.58 Typical High $575.44 | Professional | TC · Technical part | $39.81 | $426.58 | $575.44 |
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 $416.87 Typical High $537.03 | Professional | 52 · Reduced service | $245.47 | $416.87 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $165.96 Typical High $213.80 | Professional | 53 · Discontinued | $97.72 | $165.96 | $213.80 |
Where Mississippi sits
The same service costs 11.2 times more in Colorado than in Michigan. 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
$407
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.