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 $45.71 Median $57.54 Typical High $125.89 | Facility | None | $45.71 | $57.54 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $100.00 Typical High $128.82 | Professional | None (both parts) | $47.86 | $100.00 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $53.70 Typical High $67.61 | Professional | 26 · Professional part | $22.39 | $53.70 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $46.77 Typical High $58.88 | Professional | TC · Technical part | $26.30 | $46.77 | $58.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $46.77 Median $48.98 Typical High $57.54 | Professional | None (both parts) | $46.77 | $48.98 | $57.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $30.90 Typical High $33.88 | Professional | 26 · Professional part | $26.92 | $30.90 | $33.88 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $21.88 Typical High $42.66 | Professional | TC · Technical part | $21.88 | $21.88 | $42.66 |
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 $47.86 Median $47.86 Typical High $47.86 | Professional | None (both parts) | $47.86 | $47.86 | $47.86 |
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 $39.81 Median $47.86 Typical High $93.33 | Professional | None (both parts) | $39.81 | $47.86 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $32.36 Typical High $42.66 | Professional | 26 · Professional part | $21.88 | $32.36 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $17.78 Typical High $51.29 | Professional | TC · Technical part | $12.88 | $17.78 | $51.29 |
Molina Setting Professional Modifier None (both parts) Typical Low $24.55 Median $33.11 Typical High $51.29 | Professional | None (both parts) | $24.55 | $33.11 | $51.29 |
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 $27.54 Median $46.77 Typical High $64.57 | Professional | None (both parts) | $27.54 | $46.77 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $23.44 Typical High $41.69 | Professional | 26 · Professional part | $19.50 | $23.44 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $7.94 Median $14.79 Typical High $34.67 | Professional | TC · Technical part | $7.94 | $14.79 | $34.67 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $46.77 Median $57.54 Typical High $57.54 | Professional | 59 · Distinct service | $46.77 | $57.54 | $57.54 |
Where Mississippi sits
The same service costs 5.1 times more in Alaska than in Kentucky. 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· 38th of 51
$52.48
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.