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 $141.25 Median $141.25 Typical High $239.88 | Facility | None | $141.25 | $141.25 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $239.88 Typical High $309.03 | Professional | None (both parts) | $141.25 | $239.88 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $34.67 Typical High $43.65 | Professional | 26 · Professional part | $19.95 | $34.67 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $204.17 Typical High $263.03 | Professional | TC · Technical part | $120.23 | $204.17 | $263.03 |
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 $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $234.42 Typical High $562.34 | Facility | None | $158.49 | $234.42 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $288.40 | Professional | None (both parts) | $131.83 | $165.96 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $25.70 Typical High $42.66 | Professional | 26 · Professional part | $18.20 | $25.70 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $141.25 Typical High $245.47 | Professional | TC · Technical part | $109.65 | $141.25 | $245.47 |
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 $97.72 Median $154.88 Typical High $213.80 | Professional | None (both parts) | $97.72 | $154.88 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $21.88 Typical High $47.86 | Professional | 26 · Professional part | $15.14 | $21.88 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $128.82 Typical High $186.21 | Professional | TC · Technical part | $83.18 | $128.82 | $186.21 |
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 $70.79 Median $120.23 Typical High $154.88 | Professional | 52 · Reduced service | $70.79 | $120.23 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $47.86 Typical High $61.66 | Professional | 53 · Discontinued | $28.18 | $47.86 | $61.66 |
Where Mississippi sits
The same service costs 4.7 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· 32nd of 51
$191
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.