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 $120.23 Median $123.03 Typical High $165.96 | Facility | None | $120.23 | $123.03 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $208.93 Typical High $263.03 | Professional | None (both parts) | $120.23 | $208.93 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $85.11 Typical High $109.65 | Professional | 26 · Professional part | $48.98 | $85.11 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $123.03 Typical High $154.88 | Professional | TC · Technical part | $70.79 | $123.03 | $154.88 |
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 $549.54 Median $549.54 Typical High $549.54 | Professional | None (both parts) | $549.54 | $549.54 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $1,071.52 Typical High $2,570.40 | Facility | None | $87.10 | $1,071.52 | $2,570.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $204.17 Typical High $501.19 | Professional | None (both parts) | $112.20 | $204.17 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $74.13 Typical High $95.50 | Professional | 26 · Professional part | $44.67 | $74.13 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $131.83 Typical High $380.19 | Professional | TC · Technical part | $66.07 | $131.83 | $380.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $104.71 | Professional | None (both parts) | $33.11 | $33.11 | $104.71 |
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 $120.23 Median $162.18 Typical High $724.44 | Professional | None (both parts) | $120.23 | $162.18 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $54.95 Typical High $114.82 | Professional | 26 · Professional part | $43.65 | $54.95 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $107.15 Typical High $524.81 | Professional | TC · Technical part | $77.62 | $107.15 | $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 $60.26 Median $102.33 Typical High $131.83 | Professional | 52 · Reduced service | $60.26 | $102.33 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $41.69 Typical High $52.48 | Professional | 53 · Discontinued | $23.99 | $41.69 | $52.48 |
Where Mississippi sits
The same service costs 4.3 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· 23rd of 51
$209
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.