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 $95.50 Median $95.50 Typical High $162.18 | Facility | None | $95.50 | $95.50 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $162.18 Typical High $208.93 | Professional | None (both parts) | $95.50 | $162.18 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $54.95 Typical High $69.18 | Professional | 26 · Professional part | $31.62 | $54.95 | $69.18 |
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 $331.13 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $331.13 | $331.13 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $478.63 Typical High $1,621.81 | Facility | None | $100.00 | $478.63 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $165.96 Typical High $199.53 | Professional | None (both parts) | $89.13 | $165.96 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $45.71 Typical High $61.66 | Professional | 26 · Professional part | $28.18 | $45.71 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $109.65 Typical High $138.04 | Professional | TC · Technical part | $60.26 | $109.65 | $138.04 |
Molina Setting Professional Modifier None (both parts) Typical Low $27.54 Median $33.11 Typical High $83.18 | Professional | None (both parts) | $27.54 | $33.11 | $83.18 |
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 $89.13 Median $114.82 Typical High $190.55 | Professional | None (both parts) | $89.13 | $114.82 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $34.67 Typical High $72.44 | Professional | 26 · Professional part | $27.54 | $34.67 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $75.86 Typical High $138.04 | Professional | TC · Technical part | $61.66 | $75.86 | $138.04 |
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 $47.86 Median $81.28 Typical High $104.71 | Professional | 52 · Reduced service | $47.86 | $81.28 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $32.36 Typical High $41.69 | Professional | 53 · Discontinued | $19.05 | $32.36 | $41.69 |
Where Mississippi sits
The same service costs 4.6 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· 15th of 51
$162
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.