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 $38.02 Median $38.02 Typical High $64.57 | Facility | None | $38.02 | $38.02 | $64.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $64.57 Typical High $83.18 | Professional | None (both parts) | $38.02 | $64.57 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $37.15 Typical High $46.77 | Professional | 26 · Professional part | $21.38 | $37.15 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $27.54 Typical High $35.48 | Professional | TC · Technical part | $16.22 | $27.54 | $35.48 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $56.23 Typical High $234.42 | Professional | None (both parts) | $34.67 | $56.23 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $32.36 Typical High $45.71 | Professional | 26 · Professional part | $19.95 | $32.36 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $23.99 Typical High $151.36 | Professional | TC · Technical part | $15.14 | $23.99 | $151.36 |
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 Professional Modifier None (both parts) Typical Low $33.11 Median $48.98 Typical High $380.19 | Professional | None (both parts) | $33.11 | $48.98 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $23.44 Typical High $53.70 | Professional | 26 · Professional part | $19.05 | $23.44 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $20.89 Typical High $316.23 | Professional | TC · Technical part | $14.45 | $20.89 | $316.23 |
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 $18.62 Median $32.36 Typical High $41.69 | Professional | 52 · Reduced service | $18.62 | $32.36 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $12.88 Typical High $16.60 | Professional | 53 · Discontinued | $7.59 | $12.88 | $16.60 |
Where Mississippi sits
The same service costs 7.2 times more in Alabama than in Florida. 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
$64.57
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.