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 $194.98 | Facility | None | $114.82 | $114.82 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $194.98 Typical High $251.19 | Professional | None (both parts) | $114.82 | $194.98 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $87.10 Typical High $112.20 | Professional | 26 · Professional part | $51.29 | $87.10 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $109.65 Typical High $138.04 | Professional | TC · Technical part | $63.10 | $109.65 | $138.04 |
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 $562.34 Median $562.34 Typical High $562.34 | Professional | None (both parts) | $562.34 | $562.34 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $512.86 Typical High $1,445.44 | Facility | None | $275.42 | $512.86 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $186.21 Typical High $512.86 | Professional | None (both parts) | $107.15 | $186.21 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $67.61 Typical High $100.00 | Professional | 26 · Professional part | $45.71 | $67.61 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $117.49 Typical High $389.05 | Professional | TC · Technical part | $60.26 | $117.49 | $389.05 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $100.00 | Professional | None (both parts) | $33.11 | $33.11 | $100.00 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,148.15 Typical High $1,288.25 | Facility | None | $776.25 | $1,148.15 | $1,288.25 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $169.82 Typical High $630.96 | Professional | None (both parts) | $109.65 | $169.82 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $54.95 Typical High $117.49 | Professional | 26 · Professional part | $39.81 | $54.95 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $104.71 Typical High $512.86 | Professional | TC · Technical part | $69.18 | $104.71 | $512.86 |
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 $97.72 Typical High $125.89 | Professional | 52 · Reduced service | $57.54 | $97.72 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $38.90 Typical High $50.12 | Professional | 53 · Discontinued | $22.91 | $38.90 | $50.12 |
Where Mississippi sits
The same service costs 4.9 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· 23rd of 51
$195
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.