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 $524.81 Median $524.81 Typical High $933.25 | Facility | None | $524.81 | $524.81 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $933.25 Typical High $954.99 | Professional | None (both parts) | $524.81 | $933.25 | $954.99 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $131.83 Typical High $134.90 | Professional | 26 · Professional part | $75.86 | $131.83 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $794.33 Typical High $812.83 | Professional | TC · Technical part | $457.09 | $794.33 | $812.83 |
BCBS Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
BCBS Setting Professional Modifier None (both parts) Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None (both parts) | $524.81 | $524.81 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $363.08 Typical High $812.83 | Facility | None | $251.19 | $363.08 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $489.78 Typical High $831.76 | Professional | None (both parts) | $436.52 | $489.78 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $102.33 Typical High $141.25 | Professional | 26 · Professional part | $67.61 | $102.33 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $398.11 Typical High $691.83 | Professional | TC · Technical part | $331.13 | $398.11 | $691.83 |
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 $309.03 Median $501.19 Typical High $676.08 | Professional | None (both parts) | $309.03 | $501.19 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $83.18 Typical High $165.96 | Professional | 26 · Professional part | $69.18 | $83.18 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $398.11 Typical High $562.34 | Professional | TC · Technical part | $208.93 | $398.11 | $562.34 |
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 $263.03 Median $457.09 Typical High $478.63 | Professional | 52 · Reduced service | $263.03 | $457.09 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $186.21 Typical High $190.55 | Professional | 53 · Discontinued | $104.71 | $186.21 | $190.55 |
Where Mississippi sits
The same service costs 6.0 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· 46th of 51
$525
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.