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 $87.10 Median $87.10 Typical High $151.36 | Facility | None | $87.10 | $87.10 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $151.36 Typical High $190.55 | Professional | None (both parts) | $87.10 | $151.36 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $109.65 Typical High $141.25 | Professional | 26 · Professional part | $64.57 | $109.65 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $40.74 Typical High $52.48 | Professional | TC · Technical part | $23.99 | $40.74 | $52.48 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 26 · Professional part | $64.57 | $64.57 | $64.57 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $281.84 | $281.84 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $114.82 Typical High $208.93 | Professional | None (both parts) | $79.43 | $114.82 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $87.10 Typical High $117.49 | Professional | 26 · Professional part | $57.54 | $87.10 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $27.54 Typical High $77.62 | Professional | TC · Technical part | $21.88 | $27.54 | $77.62 |
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 $95.50 Typical High $316.23 | Professional | None (both parts) | $72.44 | $95.50 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $66.07 Typical High $131.83 | Professional | 26 · Professional part | $54.95 | $66.07 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $26.92 Typical High $177.83 | Professional | TC · Technical part | $17.38 | $26.92 | $177.83 |
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 $43.65 Median $75.86 Typical High $95.50 | Professional | 52 · Reduced service | $43.65 | $75.86 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $30.20 Typical High $38.90 | Professional | 53 · Discontinued | $17.38 | $30.20 | $38.90 |
Where Mississippi sits
The same service costs 5.2 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· 24th of 51
$126
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.