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 $275.42 Median $275.42 Typical High $478.63 | Facility | None | $275.42 | $275.42 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $478.63 Typical High $602.56 | Professional | None (both parts) | $275.42 | $478.63 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $89.13 Typical High $114.82 | Professional | 26 · Professional part | $52.48 | $89.13 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $380.19 Typical High $489.78 | Professional | TC · Technical part | $223.87 | $380.19 | $489.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $57.54 Typical High $57.54 | Professional | 26 · Professional part | $51.29 | $57.54 | $57.54 |
BCBS Mississippi Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $501.19 | $501.19 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $645.65 | Facility | None | $316.23 | $316.23 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $436.52 Typical High $588.84 | Professional | None (both parts) | $263.03 | $436.52 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $77.62 Typical High $112.20 | Professional | 26 · Professional part | $46.77 | $77.62 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $346.74 Typical High $478.63 | Professional | TC · Technical part | $213.80 | $346.74 | $478.63 |
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 $676.08 Median $1,000.00 Typical High $1,096.48 | Facility | None | $676.08 | $1,000.00 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $316.23 Typical High $489.78 | Professional | None (both parts) | $245.47 | $316.23 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $56.23 Typical High $128.82 | Professional | 26 · Professional part | $45.71 | $56.23 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $263.03 Typical High $398.11 | Professional | TC · Technical part | $194.98 | $263.03 | $398.11 |
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 $138.04 Median $234.42 Typical High $302.00 | Professional | 52 · Reduced service | $138.04 | $234.42 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $95.50 Typical High $120.23 | Professional | 53 · Discontinued | $54.95 | $95.50 | $120.23 |
Where Mississippi sits
The same service costs 4.0 times more in Alaska than in Kentucky. 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· 26th of 51
$417
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.