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 $72.44 Median $72.44 Typical High $125.89 | Facility | None | $72.44 | $72.44 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $125.89 Typical High $158.49 | Professional | None (both parts) | $72.44 | $125.89 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $46.77 Typical High $60.26 | Professional | 26 · Professional part | $27.54 | $46.77 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $77.62 Typical High $100.00 | Professional | TC · Technical part | $45.71 | $77.62 | $100.00 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $218.78 | $218.78 | $218.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $109.65 Typical High $141.25 | Professional | None (both parts) | $66.07 | $109.65 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $40.74 Typical High $53.70 | Professional | 26 · Professional part | $24.55 | $40.74 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $67.61 Typical High $89.13 | Professional | TC · Technical part | $41.69 | $67.61 | $89.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $23.99 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $23.99 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $169.82 Typical High $281.84 | Professional | None (both parts) | $120.23 | $169.82 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $29.51 Typical High $63.10 | Professional | 26 · Professional part | $23.99 | $29.51 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $138.04 Typical High $218.78 | Professional | TC · Technical part | $95.50 | $138.04 | $218.78 |
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 $36.31 Median $61.66 Typical High $79.43 | Professional | 52 · Reduced service | $36.31 | $61.66 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $25.12 Typical High $31.62 | Professional | 53 · Discontinued | $14.45 | $25.12 | $31.62 |
Where Mississippi sits
The same service costs 4.4 times more in Alaska than in Texas. 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
$129
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.