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 $213.80 Median $213.80 Typical High $371.54 | Facility | None | $213.80 | $213.80 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $371.54 Typical High $467.74 | Professional | None (both parts) | $213.80 | $371.54 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $63.10 Typical High $81.28 | Professional | 26 · Professional part | $37.15 | $63.10 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $302.00 Typical High $389.05 | Professional | TC · Technical part | $177.83 | $302.00 | $389.05 |
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 $338.84 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $338.84 | $338.84 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $234.42 Typical High $575.44 | Facility | None | $213.80 | $234.42 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $281.84 Typical High $436.52 | Professional | None (both parts) | $186.21 | $281.84 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $53.70 Typical High $77.62 | Professional | 26 · Professional part | $33.11 | $53.70 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $229.09 Typical High $363.08 | Professional | TC · Technical part | $147.91 | $229.09 | $363.08 |
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 $162.18 Median $251.19 Typical High $346.74 | Professional | None (both parts) | $162.18 | $251.19 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $39.81 Typical High $89.13 | Professional | 26 · Professional part | $31.62 | $39.81 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $204.17 Typical High $288.40 | Professional | TC · Technical part | $128.82 | $204.17 | $288.40 |
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 $107.15 Median $181.97 Typical High $234.42 | Professional | 52 · Reduced service | $107.15 | $181.97 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $74.13 Typical High $93.33 | Professional | 53 · Discontinued | $42.66 | $74.13 | $93.33 |
Where Mississippi sits
The same service costs 5.0 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· 29th of 51
$309
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.