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 $107.15 Typical High $186.21 | Facility | None | $102.33 | $107.15 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $186.21 Typical High $234.42 | Professional | None (both parts) | $107.15 | $186.21 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $83.18 Typical High $107.15 | Professional | 26 · Professional part | $48.98 | $83.18 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $100.00 Typical High $128.82 | Professional | TC · Technical part | $58.88 | $100.00 | $128.82 |
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 $97.72 Median $190.55 Typical High $489.78 | Professional | None (both parts) | $97.72 | $190.55 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $77.62 Typical High $95.50 | Professional | 26 · Professional part | $43.65 | $77.62 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $114.82 Typical High $371.54 | Professional | TC · Technical part | $54.95 | $114.82 | $371.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $93.33 | Professional | None (both parts) | $33.11 | $33.11 | $93.33 |
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 $112.20 Median $147.91 Typical High $602.56 | Professional | None (both parts) | $112.20 | $147.91 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $53.70 Typical High $114.82 | Professional | 26 · Professional part | $45.71 | $53.70 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $95.50 Typical High $489.78 | Professional | TC · Technical part | $66.07 | $95.50 | $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 $53.70 Median $91.20 Typical High $117.49 | Professional | 52 · Reduced service | $53.70 | $91.20 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $37.15 Typical High $46.77 | Professional | 53 · Discontinued | $21.38 | $37.15 | $46.77 |
Where Mississippi sits
The same service costs 4.9 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· 22nd of 51
$191
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.