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 $151.36 Median $371.54 Typical High $870.96 | Facility | None | $151.36 | $371.54 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $645.65 Typical High $676.08 | Professional | None (both parts) | $371.54 | $645.65 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $131.83 Typical High $138.04 | Professional | 26 · Professional part | $75.86 | $131.83 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $512.86 Typical High $537.03 | Professional | TC · Technical part | $295.12 | $512.86 | $537.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None (both parts) | $389.05 | $389.05 | $389.05 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $77.62 Typical High $112.20 | Professional | 26 · Professional part | $61.66 | $77.62 | $112.20 |
BCBS Mississippi Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $512.86 | Facility | None | $467.74 | $467.74 | $512.86 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None (both parts) | $724.44 | $724.44 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $489.78 Typical High $588.84 | Facility | None | $218.78 | $489.78 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $602.56 Typical High $831.76 | Professional | None (both parts) | $363.08 | $602.56 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $104.71 Typical High $141.25 | Professional | 26 · Professional part | $69.18 | $104.71 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $501.19 Typical High $691.83 | Professional | TC · Technical part | $295.12 | $501.19 | $691.83 |
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 Facility Modifier None Typical Low $467.74 Median $676.08 Typical High $758.58 | Facility | None | $467.74 | $676.08 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $389.05 Median $512.86 Typical High $812.83 | Professional | None (both parts) | $389.05 | $512.86 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $81.28 Typical High $158.49 | Professional | 26 · Professional part | $66.07 | $81.28 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $426.58 Typical High $676.08 | Professional | TC · Technical part | $323.59 | $426.58 | $676.08 |
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 $186.21 Median $323.59 Typical High $338.84 | Professional | 52 · Reduced service | $186.21 | $323.59 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $128.82 Typical High $134.90 | Professional | 53 · Discontinued | $74.13 | $128.82 | $134.90 |
Where Mississippi sits
The same service costs 4.6 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· 37th of 51
$513
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.