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 $77.62 Median $79.43 Typical High $134.90 | Facility | None | $77.62 | $79.43 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $134.90 Typical High $173.78 | Professional | None (both parts) | $79.43 | $134.90 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $29.51 Typical High $38.02 | Professional | 26 · Professional part | $16.98 | $29.51 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $104.71 Typical High $134.90 | Professional | TC · Technical part | $61.66 | $104.71 | $134.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $16.98 Typical High $19.05 | Professional | 26 · Professional part | $16.98 | $16.98 | $19.05 |
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 $112.20 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $112.20 | $112.20 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $204.17 Typical High $588.84 | Facility | None | $69.18 | $204.17 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $93.33 Typical High $131.83 | Professional | None (both parts) | $66.07 | $93.33 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $24.55 Typical High $33.11 | Professional | 26 · Professional part | $15.49 | $24.55 | $33.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $69.18 Typical High $100.00 | Professional | TC · Technical part | $56.23 | $69.18 | $100.00 |
Molina Setting Professional Modifier None (both parts) Typical Low $15.14 Median $33.11 Typical High $69.18 | Professional | None (both parts) | $15.14 | $33.11 | $69.18 |
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 $56.23 Median $83.18 Typical High $131.83 | Professional | None (both parts) | $56.23 | $83.18 | $131.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $18.62 Typical High $38.90 | Professional | 26 · Professional part | $14.45 | $18.62 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $63.10 Typical High $93.33 | Professional | TC · Technical part | $41.69 | $63.10 | $93.33 |
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 $39.81 Median $67.61 Typical High $87.10 | Professional | 52 · Reduced service | $39.81 | $67.61 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $26.92 Typical High $34.67 | Professional | 53 · Discontinued | $15.85 | $26.92 | $34.67 |
Where Mississippi sits
The same service costs 4.0 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· 29th of 51
$100
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.