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 $58.88 Median $64.57 Typical High $151.36 | Facility | None | $58.88 | $64.57 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $102.33 Typical High $107.15 | Professional | None (both parts) | $58.88 | $102.33 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $52.48 Typical High $54.95 | Professional | 26 · Professional part | $30.20 | $52.48 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $50.12 Typical High $51.29 | Professional | TC · Technical part | $28.18 | $50.12 | $51.29 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $47.86 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $47.86 | $60.26 | $60.26 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $30.90 Typical High $44.67 | Professional | 26 · Professional part | $24.55 | $30.90 | $44.67 |
BCBS Mississippi Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $39.81 | Facility | None | $36.31 | $36.31 | $39.81 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $123.03 | $123.03 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $47.86 Typical High $194.98 | Facility | None | $36.31 | $47.86 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $83.18 Typical High $114.82 | Professional | None (both parts) | $54.95 | $83.18 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $41.69 Typical High $56.23 | Professional | 26 · Professional part | $27.54 | $41.69 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $40.74 Typical High $66.07 | Professional | TC · Technical part | $26.92 | $40.74 | $66.07 |
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 $169.82 Median $245.47 Typical High $275.42 | Facility | None | $169.82 | $245.47 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $67.61 Typical High $147.91 | Professional | None (both parts) | $60.26 | $67.61 | $147.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $32.36 Typical High $63.10 | Professional | 26 · Professional part | $26.30 | $32.36 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $36.31 Typical High $87.10 | Professional | TC · Technical part | $29.51 | $36.31 | $87.10 |
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 $29.51 Median $51.29 Typical High $52.48 | Professional | 52 · Reduced service | $29.51 | $51.29 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $20.42 Typical High $21.38 | Professional | 53 · Discontinued | $11.75 | $20.42 | $21.38 |
Where Mississippi sits
The same service costs 4.7 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· 44th of 51
$72.44
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.