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 $125.89 Median $446.68 Typical High $851.14 | Facility | None | $125.89 | $446.68 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $223.87 Typical High $239.88 | Professional | None (both parts) | $125.89 | $223.87 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $117.49 Typical High $123.03 | Professional | 26 · Professional part | $66.07 | $117.49 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $107.15 Typical High $112.20 | Professional | TC · Technical part | $60.26 | $107.15 | $112.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $52.48 | $52.48 | $52.48 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $275.42 | $275.42 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $154.88 Typical High $234.42 | Professional | None (both parts) | $93.33 | $154.88 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $75.86 Typical High $100.00 | Professional | 26 · Professional part | $46.77 | $75.86 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $79.43 Typical High $123.03 | Professional | TC · Technical part | $45.71 | $79.43 | $123.03 |
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 $91.20 Median $117.49 Typical High $275.42 | Professional | None (both parts) | $91.20 | $117.49 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $56.23 Typical High $123.03 | Professional | 26 · Professional part | $45.71 | $56.23 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $60.26 Typical High $162.18 | Professional | TC · Technical part | $46.77 | $60.26 | $162.18 |
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 $63.10 Median $112.20 Typical High $117.49 | Professional | 52 · Reduced service | $63.10 | $112.20 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $44.67 Typical High $47.86 | Professional | 53 · Discontinued | $25.12 | $44.67 | $47.86 |
Where Mississippi sits
The same service costs 5.6 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· 22nd of 51
$155
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.