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 $562.34 Median $562.34 Typical High $977.24 | Facility | None | $562.34 | $562.34 | $977.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $977.24 Typical High $1,023.29 | Professional | None (both parts) | $562.34 | $977.24 | $1,023.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $112.20 Typical High $114.82 | Professional | 26 · Professional part | $63.10 | $112.20 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $870.96 Typical High $912.01 | Professional | TC · Technical part | $501.19 | $870.96 | $912.01 |
BCBS Mississippi Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | None (both parts) | $1,445.44 | $1,445.44 | $1,445.44 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $616.60 Typical High $812.83 | Facility | None | $251.19 | $616.60 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $891.25 Typical High $1,202.26 | Professional | None (both parts) | $489.78 | $891.25 | $1,202.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $102.33 Typical High $125.89 | Professional | 26 · Professional part | $58.88 | $102.33 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $794.33 Typical High $1,071.52 | Professional | TC · Technical part | $467.74 | $794.33 | $1,071.52 |
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 $371.54 Median $691.83 Typical High $1,230.27 | Professional | None (both parts) | $371.54 | $691.83 | $1,230.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $79.43 Typical High $158.49 | Professional | 26 · Professional part | $66.07 | $79.43 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $645.65 Typical High $1,122.02 | Professional | TC · Technical part | $208.93 | $645.65 | $1,122.02 |
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 $281.84 Median $489.78 Typical High $512.86 | Professional | 52 · Reduced service | $281.84 | $489.78 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $194.98 Typical High $204.17 | Professional | 53 · Discontinued | $112.20 | $194.98 | $204.17 |
Where Mississippi sits
The same service costs 5.1 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· 23rd of 51
$871
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.