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 $43.65 Median $43.65 Typical High $74.13 | Facility | None | $43.65 | $43.65 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $74.13 Typical High $95.50 | Professional | None (both parts) | $43.65 | $74.13 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $48.98 Typical High $61.66 | Professional | 26 · Professional part | $28.18 | $48.98 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $25.70 Typical High $33.11 | Professional | TC · Technical part | $15.14 | $25.70 | $33.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $72.44 | $72.44 | $72.44 |
BCBS Mississippi Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $158.49 | Facility | None | $144.54 | $144.54 | $158.49 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $97.72 Typical High $234.42 | Facility | None | $50.12 | $97.72 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $102.33 Typical High $151.36 | Professional | None (both parts) | $39.81 | $102.33 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $60.26 Typical High $75.86 | Professional | 26 · Professional part | $25.70 | $60.26 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $41.69 Typical High $63.10 | Professional | TC · Technical part | $14.45 | $41.69 | $63.10 |
Molina Setting Professional Modifier None (both parts) Typical Low $14.13 Median $33.11 Typical High $38.02 | Professional | None (both parts) | $14.13 | $33.11 | $38.02 |
United Setting Facility Modifier None Typical Low $131.83 Median $190.55 Typical High $213.80 | Facility | None | $131.83 | $190.55 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $74.13 Typical High $162.18 | Professional | None (both parts) | $48.98 | $74.13 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $43.65 Typical High $79.43 | Professional | 26 · Professional part | $28.84 | $43.65 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $29.51 Typical High $72.44 | Professional | TC · Technical part | $18.62 | $29.51 | $72.44 |
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 $21.88 Median $37.15 Typical High $47.86 | Professional | 52 · Reduced service | $21.88 | $37.15 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $14.79 Typical High $19.05 | Professional | 53 · Discontinued | $8.71 | $14.79 | $19.05 |
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· 26th of 51
$77.62
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.