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 $33.11 Median $36.31 Typical High $63.10 | Facility | None | $33.11 | $36.31 | $63.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $63.10 Typical High $81.28 | Professional | None (both parts) | $36.31 | $63.10 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $24.55 Typical High $31.62 | Professional | 26 · Professional part | $14.45 | $24.55 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $38.90 Typical High $48.98 | Professional | TC · Technical part | $22.39 | $38.90 | $48.98 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $15.85 | Professional | 26 · Professional part | $14.45 | $14.45 | $15.85 |
BCBS Mississippi Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $331.13 | Facility | None | $302.00 | $302.00 | $331.13 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None (both parts) | $83.18 | $83.18 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $295.12 Typical High $457.09 | Facility | None | $72.44 | $295.12 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $51.29 Typical High $102.33 | Professional | None (both parts) | $33.88 | $51.29 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $20.42 Typical High $28.18 | Professional | 26 · Professional part | $12.88 | $20.42 | $28.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $30.20 Typical High $79.43 | Professional | TC · Technical part | $20.42 | $30.20 | $79.43 |
Molina Setting Professional Modifier None (both parts) Typical Low $12.88 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $12.88 | $33.11 | $33.11 |
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 $30.20 Median $43.65 Typical High $102.33 | Professional | None (both parts) | $30.20 | $43.65 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $15.49 Typical High $33.11 | Professional | 26 · Professional part | $12.02 | $15.49 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $26.30 Typical High $74.13 | Professional | TC · Technical part | $18.20 | $26.30 | $74.13 |
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 $18.20 Median $31.62 Typical High $39.81 | Professional | 52 · Reduced service | $18.20 | $31.62 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $12.59 Typical High $16.22 | Professional | 53 · Discontinued | $7.41 | $12.59 | $16.22 |
Where Mississippi sits
The same service costs 3.8 times more in Alaska than in New York. 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· 24th of 51
$58.88
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.