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 $70.79 Median $70.79 Typical High $120.23 | Facility | None | $70.79 | $70.79 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $120.23 Typical High $154.88 | Professional | None (both parts) | $70.79 | $120.23 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $42.66 Typical High $54.95 | Professional | 26 · Professional part | $25.12 | $42.66 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $77.62 Typical High $100.00 | Professional | TC · Technical part | $44.67 | $77.62 | $100.00 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None (both parts) | $83.18 | $83.18 | $83.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $102.33 Typical High $154.88 | Professional | None (both parts) | $64.57 | $102.33 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $36.31 Typical High $52.48 | Professional | 26 · Professional part | $22.39 | $36.31 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $66.07 Typical High $100.00 | Professional | TC · Technical part | $41.69 | $66.07 | $100.00 |
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 Professional Modifier None (both parts) Typical Low $60.26 Median $77.62 Typical High $162.18 | Professional | None (both parts) | $60.26 | $77.62 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $27.54 Typical High $63.10 | Professional | 26 · Professional part | $21.88 | $27.54 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $48.98 Typical High $97.72 | Professional | TC · Technical part | $38.90 | $48.98 | $97.72 |
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 $34.67 Median $60.26 Typical High $77.62 | Professional | 52 · Reduced service | $34.67 | $60.26 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $23.99 Typical High $30.90 | Professional | 53 · Discontinued | $14.13 | $23.99 | $30.90 |
Where Mississippi sits
The same service costs 4.6 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· 41st of 51
$83.18
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.