How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $776.25 Median $870.96 Typical High $1,479.11 | Facility | None | $776.25 | $870.96 | $1,479.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,479.11 Typical High $1,905.46 | Professional | None (both parts) | $870.96 | $1,479.11 | $1,905.46 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $114.82 Typical High $144.54 | Professional | 26 · Professional part | $66.07 | $114.82 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,380.38 Typical High $1,778.28 | Professional | TC · Technical part | $794.33 | $1,380.38 | $1,778.28 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | None (both parts) | $1,380.38 | $1,380.38 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,122.02 Typical High $1,513.56 | Professional | None (both parts) | $794.33 | $1,122.02 | $1,513.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $87.10 Typical High $120.23 | Professional | 26 · Professional part | $57.54 | $87.10 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $1,047.13 Typical High $1,380.38 | Professional | TC · Technical part | $741.31 | $1,047.13 | $1,380.38 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $398.11 Typical High $1,819.70 | Professional | None (both parts) | $123.03 | $398.11 | $1,819.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $67.61 Typical High $138.04 | Professional | 26 · Professional part | $51.29 | $67.61 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $229.09 Typical High $1,698.24 | Professional | TC · Technical part | $70.79 | $229.09 | $1,698.24 |
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 $436.52 Median $741.31 Typical High $954.99 | Professional | 52 · Reduced service | $436.52 | $741.31 | $954.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $302.00 Typical High $380.19 | Professional | 53 · Discontinued | $173.78 | $302.00 | $380.19 |
Where Mississippi sits
The same service costs 20.4 times more in Alaska than in Oregon. 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· 14th of 51
$1,122
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.