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 $48.98 Median $53.70 Typical High $91.20 | Facility | None | $48.98 | $53.70 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $91.20 Typical High $117.49 | Professional | None (both parts) | $53.70 | $91.20 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $40.74 Typical High $51.29 | Professional | 26 · Professional part | $23.44 | $40.74 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $51.29 Typical High $66.07 | Professional | TC · Technical part | $30.20 | $51.29 | $66.07 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $34.67 | $35.48 | $35.48 |
BCBS Mississippi Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $602.56 | Facility | None | $549.54 | $549.54 | $602.56 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $102.33 | $102.33 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $363.08 Typical High $588.84 | Facility | None | $42.66 | $363.08 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $75.86 Typical High $97.72 | Professional | None (both parts) | $48.98 | $75.86 | $97.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $34.67 Typical High $45.71 | Professional | 26 · Professional part | $20.89 | $34.67 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $40.74 Typical High $56.23 | Professional | TC · Technical part | $26.92 | $40.74 | $56.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $20.89 Median $33.11 Typical High $46.77 | Professional | None (both parts) | $20.89 | $33.11 | $46.77 |
United Setting Facility Modifier None Typical Low $691.83 Median $1,000.00 Typical High $1,122.02 | Facility | None | $691.83 | $1,000.00 | $1,122.02 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $57.54 Typical High $120.23 | Professional | None (both parts) | $44.67 | $57.54 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $25.70 Typical High $54.95 | Professional | 26 · Professional part | $20.42 | $25.70 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $31.62 Typical High $67.61 | Professional | TC · Technical part | $23.99 | $31.62 | $67.61 |
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 $26.92 Median $45.71 Typical High $58.88 | Professional | 52 · Reduced service | $26.92 | $45.71 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $18.62 Typical High $23.44 | Professional | 53 · Discontinued | $10.72 | $18.62 | $23.44 |
Where Mississippi sits
The same service costs 3.8 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· 20th of 51
$75.86
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.