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 $93.33 Median $100.00 Typical High $295.12 | Facility | None | $93.33 | $100.00 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $169.82 Typical High $218.78 | Professional | None (both parts) | $93.33 | $169.82 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $42.66 Typical High $54.95 | Professional | 26 · Professional part | $25.12 | $42.66 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $128.82 Typical High $162.18 | Professional | TC · Technical part | $70.79 | $128.82 | $162.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $85.11 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $85.11 | $107.15 | $107.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $32.36 | Professional | 26 · Professional part | $25.70 | $25.70 | $32.36 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $112.20 | $112.20 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $123.03 Typical High $154.88 | Professional | None (both parts) | $77.62 | $123.03 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $36.31 Typical High $47.86 | Professional | 26 · Professional part | $22.39 | $36.31 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $87.10 Typical High $117.49 | Professional | TC · Technical part | $54.95 | $87.10 | $117.49 |
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 $60.26 Median $95.50 Typical High $138.04 | Professional | None (both parts) | $60.26 | $95.50 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $26.92 Typical High $50.12 | Professional | 26 · Professional part | $21.38 | $26.92 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $69.18 Typical High $91.20 | Professional | TC · Technical part | $37.15 | $69.18 | $91.20 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $91.20 Median $91.20 Typical High $107.15 | Professional | 59 · Distinct service | $91.20 | $91.20 | $107.15 |
Where Mississippi sits
The same service costs 4.5 times more in Alaska than in New York. 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· 38th of 51
$112
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.