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 $169.82 Median $169.82 Typical High $295.12 | Facility | None | $169.82 | $169.82 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $295.12 Typical High $371.54 | Professional | None (both parts) | $169.82 | $295.12 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $54.95 Typical High $69.18 | Professional | 26 · Professional part | $31.62 | $54.95 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $239.88 Typical High $302.00 | Professional | TC · Technical part | $138.04 | $239.88 | $302.00 |
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 $316.23 Median $316.23 Typical High $316.23 | Professional | None (both parts) | $316.23 | $316.23 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $234.42 Typical High $562.34 | Facility | None | $208.93 | $234.42 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $269.15 Typical High $371.54 | Professional | None (both parts) | $162.18 | $269.15 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $46.77 Typical High $67.61 | Professional | 26 · Professional part | $28.18 | $46.77 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $218.78 Typical High $295.12 | Professional | TC · Technical part | $131.83 | $218.78 | $295.12 |
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 $158.49 Median $194.98 Typical High $302.00 | Professional | None (both parts) | $158.49 | $194.98 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.88 Typical High $77.62 | Professional | 26 · Professional part | $28.18 | $33.88 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $158.49 Typical High $251.19 | Professional | TC · Technical part | $128.82 | $158.49 | $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 $85.11 Median $147.91 Typical High $186.21 | Professional | 52 · Reduced service | $85.11 | $147.91 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $58.88 Typical High $74.13 | Professional | 53 · Discontinued | $33.88 | $58.88 | $74.13 |
Where Mississippi sits
The same service costs 4.6 times more in Alaska 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· 27th of 51
$269
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.