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 $131.83 Median $131.83 Typical High $288.40 | Facility | None | $131.83 | $131.83 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $229.09 Typical High $234.42 | Professional | None (both parts) | $131.83 | $229.09 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $173.78 Typical High $177.83 | Professional | 26 · Professional part | $97.72 | $173.78 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $56.23 Typical High $63.10 | Professional | TC · Technical part | $32.36 | $56.23 | $63.10 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $144.54 | $144.54 | $144.54 |
BCBS Mississippi Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None (both parts) | $457.09 | $457.09 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $181.97 Typical High $891.25 | Facility | None | $41.69 | $181.97 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $194.98 Typical High $457.09 | Professional | None (both parts) | $120.23 | $194.98 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $138.04 Typical High $186.21 | Professional | 26 · Professional part | $91.20 | $138.04 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $53.70 Typical High $257.04 | Professional | TC · Technical part | $25.70 | $53.70 | $257.04 |
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 $691.83 Median $1,000.00 Typical High $1,122.02 | Facility | None | $691.83 | $1,000.00 | $1,122.02 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $173.78 Typical High $691.83 | Professional | None (both parts) | $125.89 | $173.78 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $107.15 Typical High $213.80 | Professional | 26 · Professional part | $87.10 | $107.15 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $41.69 Typical High $478.63 | Professional | TC · Technical part | $21.88 | $41.69 | $478.63 |
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 $66.07 Median $114.82 Typical High $117.49 | Professional | 52 · Reduced service | $66.07 | $114.82 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $45.71 Typical High $47.86 | Professional | 53 · Discontinued | $26.30 | $45.71 | $47.86 |
Where Mississippi sits
The same service costs 5.1 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· 24th of 51
$219
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.