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 $331.13 Median $354.81 Typical High $602.56 | Facility | None | $331.13 | $354.81 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $602.56 Typical High $776.25 | Professional | None (both parts) | $354.81 | $602.56 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $60.26 Typical High $77.62 | Professional | 26 · Professional part | $35.48 | $60.26 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $549.54 Typical High $691.83 | Professional | TC · Technical part | $316.23 | $549.54 | $691.83 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None (both parts) | $676.08 | $676.08 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $426.58 Typical High $426.58 | Facility | None | $426.58 | $426.58 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $537.03 Typical High $707.95 | Professional | None (both parts) | $323.59 | $537.03 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $53.70 Typical High $69.18 | Professional | 26 · Professional part | $31.62 | $53.70 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $489.78 Typical High $645.65 | Professional | TC · Technical part | $295.12 | $489.78 | $645.65 |
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 $354.81 Median $446.68 Typical High $891.25 | Professional | None (both parts) | $354.81 | $446.68 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.90 Typical High $87.10 | Professional | 26 · Professional part | $31.62 | $38.90 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $407.38 Typical High $812.83 | Professional | TC · Technical part | $323.59 | $407.38 | $812.83 |
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 $177.83 Median $302.00 Typical High $389.05 | Professional | 52 · Reduced service | $177.83 | $302.00 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $120.23 Typical High $154.88 | Professional | 53 · Discontinued | $70.79 | $120.23 | $154.88 |
Where Mississippi sits
The same service costs 16.6 times more in Wisconsin 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· 23rd of 51
$550
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.