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 $89.13 Median $89.13 Typical High $154.88 | Facility | None | $89.13 | $89.13 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $154.88 Typical High $194.98 | Professional | None (both parts) | $89.13 | $154.88 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $30.90 Typical High $39.81 | Professional | 26 · Professional part | $18.20 | $30.90 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $123.03 Typical High $154.88 | Professional | TC · Technical part | $70.79 | $123.03 | $154.88 |
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 $199.53 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $199.53 | $199.53 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $234.42 Typical High $562.34 | Facility | None | $131.83 | $234.42 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $120.23 Typical High $213.80 | Professional | None (both parts) | $83.18 | $120.23 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $26.92 Typical High $38.90 | Professional | 26 · Professional part | $16.22 | $26.92 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $93.33 Typical High $177.83 | Professional | TC · Technical part | $66.07 | $93.33 | $177.83 |
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 $72.44 Median $102.33 Typical High $302.00 | Professional | None (both parts) | $72.44 | $102.33 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $19.95 Typical High $50.12 | Professional | 26 · Professional part | $16.22 | $19.95 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $81.28 Typical High $251.19 | Professional | TC · Technical part | $56.23 | $81.28 | $251.19 |
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 $44.67 Median $77.62 Typical High $97.72 | Professional | 52 · Reduced service | $44.67 | $77.62 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $30.90 Typical High $38.90 | Professional | 53 · Discontinued | $17.78 | $30.90 | $38.90 |
Where Mississippi sits
The same service costs 5.0 times more in Alabama than in New York. 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· 35th of 51
$135
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.