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 $891.25 Median $891.25 Typical High $1,548.82 | Facility | None | $891.25 | $891.25 | $1,548.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,548.82 Typical High $1,621.81 | Professional | None (both parts) | $891.25 | $1,548.82 | $1,621.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $154.88 Typical High $162.18 | Professional | 26 · Professional part | $89.13 | $154.88 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,380.38 Typical High $1,445.44 | Professional | TC · Technical part | $794.33 | $1,380.38 | $1,445.44 |
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 $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None (both parts) | $1,348.96 | $1,348.96 | $1,348.96 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $891.25 Typical High $912.01 | Facility | None | $251.19 | $891.25 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $1,174.90 Typical High $1,698.24 | Professional | None (both parts) | $776.25 | $1,174.90 | $1,698.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $138.04 Typical High $169.82 | Professional | 26 · Professional part | $83.18 | $138.04 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $1,047.13 Typical High $1,548.82 | Professional | TC · Technical part | $691.83 | $1,047.13 | $1,548.82 |
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 $489.78 Median $933.25 Typical High $1,412.54 | Professional | None (both parts) | $489.78 | $933.25 | $1,412.54 |
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 $275.42 Median $851.14 Typical High $1,258.93 | Professional | TC · Technical part | $275.42 | $851.14 | $1,258.93 |
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 $446.68 Median $776.25 Typical High $794.33 | Professional | 52 · Reduced service | $446.68 | $776.25 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $309.03 Typical High $323.59 | Professional | 53 · Discontinued | $177.83 | $309.03 | $323.59 |
Where Mississippi sits
The same service costs 5.5 times more in Alaska than in Indiana. 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· 33rd of 51
$1,122
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.