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 $109.65 Median $109.65 Typical High $186.21 | Facility | None | $109.65 | $109.65 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $186.21 Typical High $239.88 | Professional | None (both parts) | $109.65 | $186.21 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $39.81 Typical High $51.29 | Professional | 26 · Professional part | $23.44 | $39.81 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $147.91 Typical High $186.21 | Professional | TC · Technical part | $85.11 | $147.91 | $186.21 |
BCBS Mississippi Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $346.74 | $346.74 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $234.42 Typical High $501.19 | Facility | None | $199.53 | $234.42 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $204.17 Typical High $338.84 | Professional | None (both parts) | $100.00 | $204.17 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $40.74 Typical High $58.88 | Professional | 26 · Professional part | $20.89 | $40.74 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $165.96 Typical High $275.42 | Professional | TC · Technical part | $79.43 | $165.96 | $275.42 |
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 $501.19 Median $724.44 Typical High $812.83 | Facility | None | $501.19 | $724.44 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $141.25 Typical High $501.19 | Professional | None (both parts) | $112.20 | $141.25 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $25.70 Typical High $64.57 | Professional | 26 · Professional part | $23.99 | $25.70 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $109.65 Typical High $436.52 | Professional | TC · Technical part | $87.10 | $109.65 | $436.52 |
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 $54.95 Median $93.33 Typical High $120.23 | Professional | 52 · Reduced service | $54.95 | $93.33 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $37.15 Typical High $47.86 | Professional | 53 · Discontinued | $21.88 | $37.15 | $47.86 |
Where Mississippi sits
The same service costs 5.2 times more in Alabama than in Texas. 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
$186
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.