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 $117.49 Median $123.03 Typical High $213.80 | Facility | None | $117.49 | $123.03 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $213.80 Typical High $269.15 | Professional | None (both parts) | $123.03 | $213.80 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $107.15 Typical High $134.90 | Professional | 26 · Professional part | $61.66 | $107.15 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $107.15 Typical High $134.90 | Professional | TC · Technical part | $61.66 | $107.15 | $134.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 26 · Professional part | $151.36 | $151.36 | $151.36 |
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 $478.63 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $478.63 | $478.63 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $2,570.40 Typical High $4,466.84 | Facility | None | $251.19 | $2,570.40 | $4,466.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $208.93 Typical High $512.86 | Professional | None (both parts) | $112.20 | $208.93 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $93.33 Typical High $117.49 | Professional | 26 · Professional part | $54.95 | $93.33 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $114.82 Typical High $371.54 | Professional | TC · Technical part | $57.54 | $114.82 | $371.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $107.15 | Professional | None (both parts) | $33.11 | $33.11 | $107.15 |
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 $123.03 Median $169.82 Typical High $616.60 | Professional | None (both parts) | $123.03 | $169.82 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $67.61 Typical High $144.54 | Professional | 26 · Professional part | $54.95 | $67.61 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $95.50 Typical High $489.78 | Professional | TC · Technical part | $69.18 | $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 $61.66 Median $107.15 Typical High $134.90 | Professional | 52 · Reduced service | $61.66 | $107.15 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $42.66 Typical High $53.70 | Professional | 53 · Discontinued | $24.55 | $42.66 | $53.70 |
Where Mississippi sits
The same service costs 4.7 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· 25th of 51
$214
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.