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 $190.55 Median $190.55 Typical High $331.13 | Facility | None | $190.55 | $190.55 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $331.13 Typical High $416.87 | Professional | None (both parts) | $190.55 | $331.13 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $36.31 Typical High $45.71 | Professional | 26 · Professional part | $20.89 | $36.31 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $295.12 Typical High $371.54 | Professional | TC · Technical part | $169.82 | $295.12 | $371.54 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $245.47 | $245.47 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $213.80 Typical High $316.23 | Professional | None (both parts) | $138.04 | $213.80 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $31.62 Typical High $40.74 | Professional | 26 · Professional part | $19.05 | $31.62 | $40.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $181.97 Typical High $269.15 | Professional | TC · Technical part | $125.89 | $181.97 | $269.15 |
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 $125.89 Median $190.55 Typical High $269.15 | Professional | None (both parts) | $125.89 | $190.55 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $22.91 Typical High $51.29 | Professional | 26 · Professional part | $18.62 | $22.91 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $162.18 Typical High $239.88 | Professional | TC · Technical part | $107.15 | $162.18 | $239.88 |
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 $95.50 Median $165.96 Typical High $208.93 | Professional | 52 · Reduced service | $95.50 | $165.96 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $66.07 Typical High $83.18 | Professional | 53 · Discontinued | $38.02 | $66.07 | $83.18 |
Where Mississippi sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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· 36th 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.