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 $33.88 Median $38.02 Typical High $66.07 | Facility | None | $33.88 | $38.02 | $66.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $66.07 Typical High $83.18 | Professional | None (both parts) | $36.31 | $66.07 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $24.55 Typical High $30.90 | Professional | 26 · Professional part | $14.13 | $24.55 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $40.74 Typical High $52.48 | Professional | TC · Technical part | $22.39 | $40.74 | $52.48 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $15.49 Typical High $15.49 | Professional | 26 · Professional part | $13.80 | $15.49 | $15.49 |
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 $37.15 Median $37.15 Typical High $37.15 | Professional | None (both parts) | $37.15 | $37.15 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $407.38 Typical High $588.84 | Facility | None | $13.80 | $407.38 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.95 Median $27.54 Typical High $38.02 | Professional | None (both parts) | $19.95 | $27.54 | $38.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $12.30 Typical High $19.50 | Professional | 26 · Professional part | $9.33 | $12.30 | $19.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $16.60 Typical High $22.39 | Professional | TC · Technical part | $11.48 | $16.60 | $22.39 |
Molina Setting Professional Modifier None (both parts) Typical Low $12.59 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $12.59 | $33.11 | $33.11 |
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 $13.80 Median $27.54 Typical High $47.86 | Professional | None (both parts) | $13.80 | $27.54 | $47.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $11.75 Typical High $19.05 | Professional | 26 · Professional part | $6.31 | $11.75 | $19.05 |
United Setting Professional Modifier TC · Technical part Typical Low $7.59 Median $17.38 Typical High $30.20 | Professional | TC · Technical part | $7.59 | $17.38 | $30.20 |
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 $19.05 Median $32.36 Typical High $41.69 | Professional | 52 · Reduced service | $19.05 | $32.36 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $13.18 Typical High $16.60 | Professional | 53 · Discontinued | $7.59 | $13.18 | $16.60 |
Where Mississippi sits
The same service costs 9.3 times more in Alaska than in New York. 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
$37.15
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.