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 $83.18 Median $83.18 Typical High $144.54 | Facility | None | $83.18 | $83.18 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $144.54 Typical High $181.97 | Professional | None (both parts) | $83.18 | $144.54 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $56.23 Typical High $72.44 | Professional | 26 · Professional part | $33.11 | $56.23 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $87.10 Typical High $112.20 | Professional | TC · Technical part | $50.12 | $87.10 | $112.20 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $81.28 | $81.28 | $81.28 |
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 $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $109.65 Typical High $147.91 | Professional | None (both parts) | $77.62 | $109.65 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $43.65 Typical High $57.54 | Professional | 26 · Professional part | $29.51 | $43.65 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $66.07 Typical High $91.20 | Professional | TC · Technical part | $47.86 | $66.07 | $91.20 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $87.10 Typical High $169.82 | Professional | None (both parts) | $72.44 | $87.10 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.11 Typical High $67.61 | Professional | 26 · Professional part | $27.54 | $33.11 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $54.95 Typical High $102.33 | Professional | TC · Technical part | $45.71 | $54.95 | $102.33 |
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 $41.69 Median $72.44 Typical High $91.20 | Professional | 52 · Reduced service | $41.69 | $72.44 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $28.84 Typical High $36.31 | Professional | 53 · Discontinued | $16.60 | $28.84 | $36.31 |
Where Mississippi sits
The same service costs 4.6 times more in Alaska than in Oregon. 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· 26th of 51
$110
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.