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 $70.79 Median $70.79 Typical High $123.03 | Facility | None | $70.79 | $70.79 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $123.03 Typical High $154.88 | Professional | None (both parts) | $66.07 | $123.03 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $51.29 Typical High $66.07 | Professional | 26 · Professional part | $27.54 | $51.29 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $70.79 Typical High $91.20 | Professional | TC · Technical part | $38.02 | $70.79 | $91.20 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None (both parts) | $83.18 | $83.18 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $67.61 Typical High $109.65 | Professional | None (both parts) | $40.74 | $67.61 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.92 Typical High $51.29 | Professional | 26 · Professional part | $22.91 | $26.92 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $33.88 Typical High $63.10 | Professional | TC · Technical part | $15.49 | $33.88 | $63.10 |
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 $25.70 Median $69.18 Typical High $104.71 | Professional | None (both parts) | $25.70 | $69.18 | $104.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $30.20 Typical High $39.81 | Professional | 26 · Professional part | $15.85 | $30.20 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $9.77 Median $38.02 Typical High $69.18 | Professional | TC · Technical part | $9.77 | $38.02 | $69.18 |
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 $35.48 Median $61.66 Typical High $77.62 | Professional | 52 · Reduced service | $35.48 | $61.66 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $24.55 Typical High $30.90 | Professional | 53 · Discontinued | $14.13 | $24.55 | $30.90 |
Where Mississippi sits
The same service costs 5.9 times more in Alaska than in Texas. 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· 31st of 51
$79.43
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.