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 $30.90 Median $33.88 Typical High $79.43 | Facility | None | $30.90 | $33.88 | $79.43 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $58.88 Typical High $74.13 | Professional | None (both parts) | $33.88 | $58.88 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $21.88 Typical High $28.18 | Professional | 26 · Professional part | $12.88 | $21.88 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $36.31 Typical High $46.77 | Professional | TC · Technical part | $21.38 | $36.31 | $46.77 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $28.84 Median $36.31 Typical High $40.74 | Professional | None (both parts) | $28.84 | $36.31 | $40.74 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.88 Typical High $16.22 | Professional | 26 · Professional part | $10.47 | $12.88 | $16.22 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None (both parts) | $52.48 | $52.48 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $44.67 Typical High $56.23 | Professional | None (both parts) | $28.84 | $44.67 | $56.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $19.50 Typical High $25.12 | Professional | 26 · Professional part | $11.75 | $19.50 | $25.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $24.55 Typical High $30.90 | Professional | TC · Technical part | $16.22 | $24.55 | $30.90 |
Molina Setting Professional Modifier None (both parts) Typical Low $18.62 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $18.62 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $33.11 Typical High $60.26 | Professional | None (both parts) | $26.92 | $33.11 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $14.13 Typical High $26.92 | Professional | 26 · Professional part | $12.02 | $14.13 | $26.92 |
United Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $19.05 Typical High $29.51 | Professional | TC · Technical part | $14.79 | $19.05 | $29.51 |
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 $16.98 Median $29.51 Typical High $37.15 | Professional | 52 · Reduced service | $16.98 | $29.51 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $11.75 Typical High $14.79 | Professional | 53 · Discontinued | $6.76 | $11.75 | $14.79 |
Where Mississippi sits
The same service costs 4.1 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· 22nd of 51
$43.65
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.