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 $52.48 Median $54.95 Typical High $89.13 | Facility | None | $52.48 | $54.95 | $89.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $89.13 Typical High $114.82 | Professional | None (both parts) | $52.48 | $89.13 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $44.67 Typical High $56.23 | Professional | 26 · Professional part | $25.70 | $44.67 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $45.71 Typical High $57.54 | Professional | TC · Technical part | $26.30 | $45.71 | $57.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None (both parts) | $54.95 | $54.95 | $54.95 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $26.30 Typical High $29.51 | Professional | 26 · Professional part | $20.89 | $26.30 | $29.51 |
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 $128.82 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $128.82 | $128.82 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $97.72 Typical High $234.42 | Facility | None | $69.18 | $97.72 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $107.15 Typical High $144.54 | Professional | None (both parts) | $47.86 | $107.15 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $35.48 Typical High $46.77 | Professional | 26 · Professional part | $22.91 | $35.48 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $72.44 Typical High $97.72 | Professional | TC · Technical part | $24.55 | $72.44 | $97.72 |
Molina Setting Professional Modifier None (both parts) Typical Low $22.91 Median $33.11 Typical High $45.71 | Professional | None (both parts) | $22.91 | $33.11 | $45.71 |
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 $66.07 Median $72.44 Typical High $141.25 | Professional | None (both parts) | $66.07 | $72.44 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $27.54 Typical High $48.98 | Professional | 26 · Professional part | $21.38 | $27.54 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $46.77 Typical High $87.10 | Professional | TC · Technical part | $41.69 | $46.77 | $87.10 |
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 $26.30 Median $44.67 Typical High $57.54 | Professional | 52 · Reduced service | $26.30 | $44.67 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $17.78 Typical High $22.91 | Professional | 53 · Discontinued | $10.47 | $17.78 | $22.91 |
Where Mississippi sits
The same service costs 4.1 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· 23rd of 51
$89.13
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.