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 $181.97 Median $181.97 Typical High $562.34 | Facility | None | $181.97 | $181.97 | $562.34 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $309.03 Typical High $398.11 | Professional | None (both parts) | $181.97 | $309.03 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $74.13 Typical High $95.50 | Professional | 26 · Professional part | $42.66 | $74.13 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $234.42 Typical High $302.00 | Professional | TC · Technical part | $138.04 | $234.42 | $302.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $33.88 | $42.66 | $42.66 |
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 $380.19 Median $380.19 Typical High $380.19 | Professional | None (both parts) | $380.19 | $380.19 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $251.19 Typical High $645.65 | Facility | None | $234.42 | $251.19 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $281.84 Typical High $426.58 | Professional | None (both parts) | $169.82 | $281.84 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $63.10 Typical High $91.20 | Professional | 26 · Professional part | $38.90 | $63.10 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $218.78 Typical High $338.84 | Professional | TC · Technical part | $131.83 | $218.78 | $338.84 |
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 $165.96 Median $208.93 Typical High $501.19 | Professional | None (both parts) | $165.96 | $208.93 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $46.77 Typical High $104.71 | Professional | 26 · Professional part | $37.15 | $46.77 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $162.18 Typical High $389.05 | Professional | TC · Technical part | $128.82 | $162.18 | $389.05 |
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 $91.20 Median $154.88 Typical High $199.53 | Professional | 52 · Reduced service | $91.20 | $154.88 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $61.66 Typical High $79.43 | Professional | 53 · Discontinued | $36.31 | $61.66 | $79.43 |
Where Mississippi sits
The same service costs 3.5 times more in Wisconsin 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· 31st of 51
$282
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.