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 $489.78 Typical High $851.14 | Facility | None | $151.36 | $489.78 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $851.14 Typical High $891.25 | Professional | None (both parts) | $489.78 | $851.14 | $891.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $489.78 Typical High $501.19 | Professional | 26 · Professional part | $281.84 | $489.78 | $501.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $371.54 Typical High $380.19 | Professional | TC · Technical part | $213.80 | $371.54 | $380.19 |
BCBS Mississippi Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $776.25 | $776.25 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $251.19 Typical High $707.95 | Facility | None | $229.09 | $251.19 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $630.96 Typical High $891.25 | Professional | None (both parts) | $436.52 | $630.96 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $380.19 Typical High $524.81 | Professional | 26 · Professional part | $257.04 | $380.19 | $524.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $251.19 Typical High $354.81 | Professional | TC · Technical part | $181.97 | $251.19 | $354.81 |
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 $407.38 Median $489.78 Typical High $831.76 | Professional | None (both parts) | $407.38 | $489.78 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $295.12 Typical High $575.44 | Professional | 26 · Professional part | $245.47 | $295.12 | $575.44 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $204.17 Typical High $346.74 | Professional | TC · Technical part | $165.96 | $204.17 | $346.74 |
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 $245.47 Median $426.58 Typical High $446.68 | Professional | 52 · Reduced service | $245.47 | $426.58 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $173.78 Typical High $177.83 | Professional | 53 · Discontinued | $97.72 | $173.78 | $177.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $346.74 Median $602.56 Typical High $616.60 | Professional | 78 · Unplanned return to OR | $346.74 | $602.56 | $616.60 |
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· 31st of 51
$631
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.