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 $426.58 Typical High $2,754.23 | Facility | None | $151.36 | $426.58 | $2,754.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $741.31 Typical High $758.58 | Professional | None (both parts) | $426.58 | $741.31 | $758.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $363.08 Typical High $380.19 | Professional | 26 · Professional part | $208.93 | $363.08 | $380.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $371.54 Typical High $389.05 | Professional | TC · Technical part | $213.80 | $371.54 | $389.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None (both parts) | $436.52 | $436.52 | $436.52 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $213.80 Typical High $331.13 | Professional | 26 · Professional part | $169.82 | $213.80 | $331.13 |
BCBS Mississippi Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $316.23 | Facility | None | $288.40 | $288.40 | $316.23 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None (both parts) | $1,318.26 | $1,318.26 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $549.54 Typical High $1,819.70 | Facility | None | $275.42 | $549.54 | $1,819.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $588.84 Typical High $1,202.26 | Professional | None (both parts) | $398.11 | $588.84 | $1,202.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $288.40 Typical High $389.05 | Professional | 26 · Professional part | $190.55 | $288.40 | $389.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $309.03 Typical High $776.25 | Professional | TC · Technical part | $204.17 | $309.03 | $776.25 |
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 $1,737.80 Median $2,511.89 Typical High $2,818.38 | Facility | None | $1,737.80 | $2,511.89 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $436.52 Median $537.03 Typical High $1,737.80 | Professional | None (both parts) | $436.52 | $537.03 | $1,737.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $234.42 Typical High $467.74 | Professional | 26 · Professional part | $190.55 | $234.42 | $467.74 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $269.15 Typical High $1,288.25 | Professional | TC · Technical part | $229.09 | $269.15 | $1,288.25 |
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 $208.93 Median $371.54 Typical High $380.19 | Professional | 52 · Reduced service | $208.93 | $371.54 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $147.91 Typical High $151.36 | Professional | 53 · Discontinued | $85.11 | $147.91 | $151.36 |
Where Mississippi sits
The same service costs 4.9 times more in Alaska 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· 43rd of 51
$550
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.