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 $100.00 Median $102.33 Typical High $234.42 | Facility | None | $100.00 | $102.33 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $177.83 Typical High $229.09 | Professional | None (both parts) | $102.33 | $177.83 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $53.70 Typical High $67.61 | Professional | 26 · Professional part | $30.90 | $53.70 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $123.03 Typical High $158.49 | Professional | TC · Technical part | $72.44 | $123.03 | $158.49 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $75.86 Median $89.13 Typical High $128.82 | Professional | None (both parts) | $75.86 | $89.13 | $128.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $34.67 Typical High $46.77 | Professional | 26 · Professional part | $30.90 | $34.67 | $46.77 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $81.28 Typical High $91.20 | Professional | TC · Technical part | $69.18 | $81.28 | $91.20 |
BCBS Mississippi Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $141.25 | $141.25 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $100.00 Typical High $151.36 | Facility | None | $60.26 | $100.00 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $154.88 Typical High $199.53 | Professional | None (both parts) | $93.33 | $154.88 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $45.71 Typical High $60.26 | Professional | 26 · Professional part | $28.18 | $45.71 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $107.15 Typical High $138.04 | Professional | TC · Technical part | $69.18 | $107.15 | $138.04 |
Molina Setting Professional Modifier None (both parts) Typical Low $27.54 Median $33.11 Typical High $91.20 | Professional | None (both parts) | $27.54 | $33.11 | $91.20 |
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 $89.13 Median $109.65 Typical High $173.78 | Professional | None (both parts) | $89.13 | $109.65 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.88 Typical High $61.66 | Professional | 26 · Professional part | $27.54 | $33.88 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $77.62 Typical High $114.82 | Professional | TC · Technical part | $61.66 | $77.62 | $114.82 |
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 $51.29 Median $89.13 Typical High $114.82 | Professional | 52 · Reduced service | $51.29 | $89.13 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $35.48 Typical High $45.71 | Professional | 53 · Discontinued | $20.89 | $35.48 | $45.71 |
Where Mississippi sits
The same service costs 3.6 times more in Alaska than in Florida. 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· 32nd of 51
$129
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.