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 $114.82 Median $151.36 Typical High $263.03 | Facility | None | $114.82 | $151.36 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $263.03 Typical High $331.13 | Professional | None (both parts) | $151.36 | $263.03 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $100.00 Typical High $128.82 | Professional | 26 · Professional part | $58.88 | $100.00 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $162.18 Typical High $204.17 | Professional | TC · Technical part | $93.33 | $162.18 | $204.17 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $66.07 | Professional | 26 · Professional part | $60.26 | $60.26 | $66.07 |
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 $194.98 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $194.98 | $194.98 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $102.33 Typical High $158.49 | Facility | None | $93.33 | $102.33 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $169.82 Typical High $234.42 | Professional | None (both parts) | $114.82 | $169.82 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $74.13 Typical High $100.00 | Professional | 26 · Professional part | $51.29 | $74.13 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $97.72 Typical High $131.83 | Professional | TC · Technical part | $67.61 | $97.72 | $131.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $138.04 | Professional | None (both parts) | $33.11 | $33.11 | $138.04 |
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 $102.33 Median $128.82 Typical High $204.17 | Professional | None (both parts) | $102.33 | $128.82 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $54.95 Typical High $95.50 | Professional | 26 · Professional part | $44.67 | $54.95 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $74.13 Typical High $104.71 | Professional | TC · Technical part | $54.95 | $74.13 | $104.71 |
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 $75.86 Median $131.83 Typical High $165.96 | Professional | 52 · Reduced service | $75.86 | $131.83 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $52.48 Typical High $66.07 | Professional | 53 · Discontinued | $30.20 | $52.48 | $66.07 |
Where Mississippi sits
The same service costs 4.9 times more in Alaska than in Utah. 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· 27th of 51
$166
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.