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 $102.33 Median $102.33 Typical High $173.78 | Facility | None | $102.33 | $102.33 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $173.78 Typical High $223.87 | Professional | None (both parts) | $102.33 | $173.78 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $87.10 Typical High $109.65 | Professional | 26 · Professional part | $50.12 | $87.10 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $89.13 Typical High $114.82 | Professional | TC · Technical part | $52.48 | $89.13 | $114.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $48.98 | $48.98 | $48.98 |
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 $467.74 Median $467.74 Typical High $467.74 | Professional | None (both parts) | $467.74 | $467.74 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $2,570.40 Typical High $4,466.84 | Facility | None | $245.47 | $2,570.40 | $4,466.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $177.83 Typical High $478.63 | Professional | None (both parts) | $93.33 | $177.83 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $72.44 Typical High $95.50 | Professional | 26 · Professional part | $44.67 | $72.44 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $107.15 Typical High $371.54 | Professional | TC · Technical part | $50.12 | $107.15 | $371.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $89.13 | Professional | None (both parts) | $33.11 | $33.11 | $89.13 |
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 $107.15 Median $141.25 Typical High $602.56 | Professional | None (both parts) | $107.15 | $141.25 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $53.70 Typical High $114.82 | Professional | 26 · Professional part | $42.66 | $53.70 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $91.20 Typical High $489.78 | Professional | TC · Technical part | $61.66 | $91.20 | $489.78 |
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 $51.29 Median $87.10 Typical High $112.20 | Professional | 52 · Reduced service | $51.29 | $87.10 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $35.48 Typical High $44.67 | Professional | 53 · Discontinued | $20.42 | $35.48 | $44.67 |
Where Mississippi sits
The same service costs 4.8 times more in Kansas 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
$178
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.