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 $61.66 Median $61.66 Typical High $104.71 | Facility | None | $61.66 | $61.66 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $104.71 Typical High $134.90 | Professional | None (both parts) | $61.66 | $104.71 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $44.67 Typical High $57.54 | Professional | 26 · Professional part | $26.30 | $44.67 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $60.26 Typical High $77.62 | Professional | TC · Technical part | $35.48 | $60.26 | $77.62 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | None (both parts) | $63.10 | $63.10 | $63.10 |
BCBS Mississippi Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $269.15 | Facility | None | $239.88 | $239.88 | $269.15 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $125.89 | $125.89 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $97.72 Typical High $158.49 | Facility | None | $30.20 | $97.72 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $93.33 Typical High $123.03 | Professional | None (both parts) | $57.54 | $93.33 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $37.15 Typical High $50.12 | Professional | 26 · Professional part | $23.44 | $37.15 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $54.95 Typical High $72.44 | Professional | TC · Technical part | $33.88 | $54.95 | $72.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $23.44 Median $33.11 Typical High $53.70 | Professional | None (both parts) | $23.44 | $33.11 | $53.70 |
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 $54.95 Median $70.79 Typical High $141.25 | Professional | None (both parts) | $54.95 | $70.79 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $27.54 Typical High $51.29 | Professional | 26 · Professional part | $22.91 | $27.54 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $41.69 Typical High $89.13 | Professional | TC · Technical part | $30.90 | $41.69 | $89.13 |
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 $30.90 Median $52.48 Typical High $67.61 | Professional | 52 · Reduced service | $30.90 | $52.48 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $20.89 Typical High $26.92 | Professional | 53 · Discontinued | $12.30 | $20.89 | $26.92 |
Where Mississippi sits
The same service costs 4.4 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· 20th of 51
$93.33
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.