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 $147.91 Median $147.91 Typical High $257.04 | Facility | None | $147.91 | $147.91 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $257.04 Typical High $323.59 | Professional | None (both parts) | $147.91 | $257.04 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $38.02 Typical High $48.98 | Professional | 26 · Professional part | $22.39 | $38.02 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $218.78 Typical High $275.42 | Professional | TC · Technical part | $125.89 | $218.78 | $275.42 |
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 $162.18 Median $234.42 Typical High $588.84 | Facility | None | $162.18 | $234.42 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $208.93 Typical High $302.00 | Professional | None (both parts) | $128.82 | $208.93 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $30.20 Typical High $43.65 | Professional | 26 · Professional part | $20.42 | $30.20 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $173.78 Typical High $263.03 | Professional | TC · Technical part | $114.82 | $173.78 | $263.03 |
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 $120.23 Median $173.78 Typical High $239.88 | Professional | None (both parts) | $120.23 | $173.78 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $23.99 Typical High $52.48 | Professional | 26 · Professional part | $17.78 | $23.99 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $138.04 Typical High $208.93 | Professional | TC · Technical part | $100.00 | $138.04 | $208.93 |
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 $74.13 Median $125.89 Typical High $162.18 | Professional | 52 · Reduced service | $74.13 | $125.89 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $51.29 Typical High $64.57 | Professional | 53 · Discontinued | $29.51 | $51.29 | $64.57 |
Where Mississippi sits
The same service costs 5.5 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· 33rd of 51
$209
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.