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 $83.18 Median $83.18 Typical High $141.25 | Facility | None | $83.18 | $83.18 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $141.25 Typical High $181.97 | Professional | None (both parts) | $83.18 | $141.25 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $28.84 Typical High $37.15 | Professional | 26 · Professional part | $16.98 | $28.84 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $114.82 Typical High $144.54 | Professional | TC · Technical part | $66.07 | $114.82 | $144.54 |
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 $120.23 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $120.23 | $120.23 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $204.17 Typical High $501.19 | Facility | None | $75.86 | $204.17 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $100.00 Typical High $141.25 | Professional | None (both parts) | $70.79 | $100.00 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $24.55 Typical High $32.36 | Professional | 26 · Professional part | $15.14 | $24.55 | $32.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $75.86 Typical High $107.15 | Professional | TC · Technical part | $60.26 | $75.86 | $107.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $15.49 Median $33.11 Typical High $72.44 | Professional | None (both parts) | $15.49 | $33.11 | $72.44 |
United Setting Facility Modifier None Typical Low $302.00 Median $436.52 Typical High $489.78 | Facility | None | $302.00 | $436.52 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $85.11 Typical High $131.83 | Professional | None (both parts) | $58.88 | $85.11 | $131.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $17.78 Typical High $38.90 | Professional | 26 · Professional part | $14.79 | $17.78 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $67.61 Typical High $100.00 | Professional | TC · Technical part | $44.67 | $67.61 | $100.00 |
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 $41.69 Median $70.79 Typical High $91.20 | Professional | 52 · Reduced service | $41.69 | $70.79 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $28.84 Typical High $36.31 | Professional | 53 · Discontinued | $16.60 | $28.84 | $36.31 |
Where Mississippi sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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· 25th of 51
$107
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.