How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $141.25 Median $141.25 Typical High $245.47 | Facility | None | $141.25 | $141.25 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $245.47 Typical High $309.03 | Professional | None (both parts) | $141.25 | $245.47 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $91.20 Typical High $117.49 | Professional | 26 · Professional part | $53.70 | $91.20 | $117.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $151.36 Typical High $194.98 | Professional | TC · Technical part | $89.13 | $151.36 | $194.98 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $199.53 Typical High $263.03 | Professional | None (both parts) | $128.82 | $199.53 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $75.86 Typical High $104.71 | Professional | 26 · Professional part | $47.86 | $75.86 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $125.89 Typical High $169.82 | Professional | TC · Technical part | $81.28 | $125.89 | $169.82 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $177.83 Typical High $309.03 | Professional | None (both parts) | $128.82 | $177.83 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $58.88 Typical High $123.03 | Professional | 26 · Professional part | $44.67 | $58.88 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $114.82 Typical High $181.97 | Professional | TC · Technical part | $81.28 | $114.82 | $181.97 |
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 $70.79 Median $120.23 Typical High $154.88 | Professional | 52 · Reduced service | $70.79 | $120.23 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $48.98 Typical High $61.66 | Professional | 53 · Discontinued | $28.18 | $48.98 | $61.66 |
Where Mississippi sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 22nd of 51
$204
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.