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 $6.46 Median $6.46 Typical High $10.96 | Facility | None | $6.46 | $6.46 | $10.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $6.46 Median $10.96 Typical High $14.13 | Professional | None (both parts) | $6.46 | $10.96 | $14.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2.51 Median $4.27 Typical High $5.50 | Professional | 26 · Professional part | $2.51 | $4.27 | $5.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.98 Median $6.76 Typical High $8.71 | Professional | TC · Technical part | $3.98 | $6.76 | $8.71 |
BCBS Mississippi Setting Facility Modifier None Typical Low $4.68 Median $4.68 Typical High $5.25 | Facility | None | $4.68 | $4.68 | $5.25 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None (both parts) | $37.15 | $37.15 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $4.17 Median $60.26 Typical High $109.65 | Facility | None | $4.17 | $60.26 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $5.89 Median $8.51 Typical High $28.18 | Professional | None (both parts) | $5.89 | $8.51 | $28.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $2.19 Median $3.63 Typical High $4.57 | Professional | 26 · Professional part | $2.19 | $3.63 | $4.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.63 Median $4.90 Typical High $22.91 | Professional | TC · Technical part | $3.63 | $4.90 | $22.91 |
Molina Setting Professional Modifier None (both parts) Typical Low $2.24 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $2.24 | $33.11 | $33.11 |
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 $5.37 Median $7.59 Typical High $36.31 | Professional | None (both parts) | $5.37 | $7.59 | $36.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.24 Median $2.75 Typical High $5.01 | Professional | 26 · Professional part | $2.24 | $2.75 | $5.01 |
United Setting Professional Modifier TC · Technical part Typical Low $3.09 Median $4.47 Typical High $31.62 | Professional | TC · Technical part | $3.09 | $4.47 | $31.62 |
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 $3.24 Median $5.50 Typical High $7.08 | Professional | 52 · Reduced service | $3.24 | $5.50 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.29 Median $2.19 Typical High $2.82 | Professional | 53 · Discontinued | $1.29 | $2.19 | $2.82 |
Where Mississippi sits
The same service costs 4.2 times more in Kansas 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· 34th of 51
$9.33
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.