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 $85.11 Median $87.10 Typical High $147.91 | Facility | None | $85.11 | $87.10 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $147.91 Typical High $190.55 | Professional | None (both parts) | $87.10 | $147.91 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $74.13 Typical High $95.50 | Professional | 26 · Professional part | $43.65 | $74.13 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $74.13 Typical High $93.33 | Professional | TC · Technical part | $42.66 | $74.13 | $93.33 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $107.15 | $107.15 | $107.15 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None (both parts) | $436.52 | $436.52 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $117.49 Typical High $416.87 | Professional | None (both parts) | $74.13 | $117.49 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $28.84 Typical High $38.90 | Professional | 26 · Professional part | $19.95 | $28.84 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $95.50 Typical High $363.08 | Professional | TC · Technical part | $40.74 | $95.50 | $363.08 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $75.86 | Professional | None (both parts) | $33.11 | $33.11 | $75.86 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $114.82 Typical High $630.96 | Professional | None (both parts) | $69.18 | $114.82 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $26.30 Typical High $57.54 | Professional | 26 · Professional part | $13.49 | $26.30 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $83.18 Typical High $524.81 | Professional | TC · Technical part | $51.29 | $83.18 | $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 $42.66 Median $74.13 Typical High $95.50 | Professional | 52 · Reduced service | $42.66 | $74.13 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $29.51 Typical High $38.02 | Professional | 53 · Discontinued | $17.38 | $29.51 | $38.02 |
Where Mississippi sits
The same service costs 4.0 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· 27th of 51
$132
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.