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 $128.82 Median $131.83 Typical High $295.12 | Facility | None | $128.82 | $131.83 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $229.09 Typical High $295.12 | Professional | None (both parts) | $131.83 | $229.09 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $79.43 Typical High $102.33 | Professional | 26 · Professional part | $45.71 | $79.43 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $151.36 Typical High $190.55 | Professional | TC · Technical part | $87.10 | $151.36 | $190.55 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $51.29 Typical High $51.29 | Professional | 26 · Professional part | $45.71 | $51.29 | $51.29 |
BCBS Mississippi Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $173.78 | Facility | None | $158.49 | $158.49 | $173.78 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $223.87 | $223.87 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $158.49 Typical High $275.42 | Facility | None | $128.82 | $158.49 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $190.55 Typical High $263.03 | Professional | None (both parts) | $125.89 | $190.55 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $44.67 Typical High $64.57 | Professional | 26 · Professional part | $33.11 | $44.67 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $144.54 Typical High $199.53 | Professional | TC · Technical part | $85.11 | $144.54 | $199.53 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $117.49 | Professional | None (both parts) | $33.11 | $33.11 | $117.49 |
United Setting Facility Modifier None Typical Low $218.78 Median $316.23 Typical High $354.81 | Facility | None | $218.78 | $316.23 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $144.54 Typical High $218.78 | Professional | None (both parts) | $107.15 | $144.54 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $47.86 Typical High $72.44 | Professional | 26 · Professional part | $26.92 | $47.86 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $97.72 Typical High $158.49 | Professional | TC · Technical part | $77.62 | $97.72 | $158.49 |
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 $66.07 Median $114.82 Typical High $147.91 | Professional | 52 · Reduced service | $66.07 | $114.82 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $45.71 Typical High $58.88 | Professional | 53 · Discontinued | $26.92 | $45.71 | $58.88 |
Where Mississippi sits
The same service costs 4.3 times more in Alaska 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· 26th of 51
$174
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.