How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $77.62 Median $114.82 Typical High $134.90 | Facility | None | $77.62 | $114.82 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $134.90 Typical High $169.82 | Professional | None (both parts) | $77.62 | $134.90 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $75.86 Typical High $95.50 | Professional | 26 · Professional part | $43.65 | $75.86 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $58.88 Typical High $75.86 | Professional | TC · Technical part | $34.67 | $58.88 | $75.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $64.57 | $64.57 | $64.57 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $229.09 | $229.09 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $95.50 Typical High $134.90 | Facility | None | $52.48 | $95.50 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $120.23 Typical High $154.88 | Professional | None (both parts) | $72.44 | $120.23 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $64.57 Typical High $87.10 | Professional | 26 · Professional part | $39.81 | $64.57 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $56.23 Typical High $75.86 | Professional | TC · Technical part | $33.11 | $56.23 | $75.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $32.36 Median $33.11 Typical High $67.61 | Professional | None (both parts) | $32.36 | $33.11 | $67.61 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $87.10 Typical High $173.78 | Professional | None (both parts) | $75.86 | $87.10 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $47.86 Typical High $87.10 | Professional | 26 · Professional part | $38.90 | $47.86 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $38.02 Typical High $77.62 | Professional | TC · Technical part | $35.48 | $38.02 | $77.62 |
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 $38.90 Median $67.61 Typical High $85.11 | Professional | 52 · Reduced service | $38.90 | $67.61 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $26.92 Typical High $34.67 | Professional | 53 · Discontinued | $15.49 | $26.92 | $34.67 |
Where Mississippi sits
The same service costs 4.2 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· 17th of 51
$117
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.