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 $151.36 Median $371.54 Typical High $645.65 | Facility | None | $151.36 | $371.54 | $645.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $645.65 Typical High $676.08 | Professional | None (both parts) | $371.54 | $645.65 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $323.59 Typical High $338.84 | Professional | 26 · Professional part | $186.21 | $323.59 | $338.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $323.59 Typical High $331.13 | Professional | TC · Technical part | $181.97 | $323.59 | $331.13 |
BCBS Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
BCBS Setting Professional Modifier None (both parts) Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None (both parts) | $575.44 | $575.44 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $234.42 Typical High $691.83 | Facility | None | $190.55 | $234.42 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $478.63 Typical High $660.69 | Professional | None (both parts) | $323.59 | $478.63 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $257.04 Typical High $354.81 | Professional | 26 · Professional part | $173.78 | $257.04 | $354.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $218.78 Typical High $316.23 | Professional | TC · Technical part | $158.49 | $218.78 | $316.23 |
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 $371.54 Typical High $602.56 | Professional | None (both parts) | $309.03 | $371.54 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $199.53 Typical High $380.19 | Professional | 26 · Professional part | $162.18 | $199.53 | $380.19 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $173.78 Typical High $275.42 | Professional | TC · Technical part | $141.25 | $173.78 | $275.42 |
3 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 $186.21 Median $323.59 Typical High $338.84 | Professional | 52 · Reduced service | $186.21 | $323.59 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $128.82 Typical High $134.90 | Professional | 53 · Discontinued | $74.13 | $128.82 | $134.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $257.04 Median $457.09 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $257.04 | $457.09 | $467.74 |
Where Mississippi sits
The same service costs 5.6 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· 28th of 51
$479
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.