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 $114.82 Median $114.82 Typical High $199.53 | Facility | None | $114.82 | $114.82 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $199.53 Typical High $257.04 | Professional | None (both parts) | $114.82 | $199.53 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $97.72 Typical High $123.03 | Professional | 26 · Professional part | $56.23 | $97.72 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $102.33 Typical High $131.83 | Professional | TC · Technical part | $58.88 | $102.33 | $131.83 |
BCBS Mississippi Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,677.35 | Facility | None | $4,265.80 | $4,265.80 | $4,677.35 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $478.63 | $478.63 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $2,570.40 Typical High $4,466.84 | Facility | None | $251.19 | $2,570.40 | $4,466.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $199.53 Typical High $501.19 | Professional | None (both parts) | $107.15 | $199.53 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $83.18 Typical High $109.65 | Professional | 26 · Professional part | $50.12 | $83.18 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $114.82 Typical High $371.54 | Professional | TC · Technical part | $56.23 | $114.82 | $371.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $102.33 | Professional | None (both parts) | $33.11 | $33.11 | $102.33 |
United Setting Facility Modifier None Typical Low $3,981.07 Median $5,754.40 Typical High $6,456.54 | Facility | None | $3,981.07 | $5,754.40 | $6,456.54 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $162.18 Typical High $741.31 | Professional | None (both parts) | $117.49 | $162.18 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $61.66 Typical High $134.90 | Professional | 26 · Professional part | $50.12 | $61.66 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $95.50 Typical High $524.81 | Professional | TC · Technical part | $67.61 | $95.50 | $524.81 |
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 $57.54 Median $100.00 Typical High $125.89 | Professional | 52 · Reduced service | $57.54 | $100.00 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $39.81 Typical High $51.29 | Professional | 53 · Discontinued | $23.44 | $39.81 | $51.29 |
Where Mississippi sits
The same service costs 5.4 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
$200
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.