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 $138.04 Median $138.04 Typical High $234.42 | Facility | None | $138.04 | $138.04 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $234.42 Typical High $302.00 | Professional | None (both parts) | $138.04 | $234.42 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $22.39 Typical High $28.84 | Professional | 26 · Professional part | $13.18 | $22.39 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $213.80 Typical High $275.42 | Professional | TC · Technical part | $123.03 | $213.80 | $275.42 |
BCBS Mississippi Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
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 $186.21 Median $316.23 Typical High $977.24 | Facility | None | $186.21 | $316.23 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $208.93 Typical High $288.40 | Professional | None (both parts) | $102.33 | $208.93 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $19.50 Typical High $28.18 | Professional | 26 · Professional part | $11.75 | $19.50 | $28.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $190.55 Typical High $263.03 | Professional | TC · Technical part | $120.23 | $190.55 | $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 $676.08 Median $1,000.00 Typical High $1,096.48 | Facility | None | $676.08 | $1,000.00 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $154.88 Typical High $239.88 | Professional | None (both parts) | $123.03 | $154.88 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $14.45 Typical High $32.36 | Professional | 26 · Professional part | $11.48 | $14.45 | $32.36 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $141.25 Typical High $218.78 | Professional | TC · Technical part | $112.20 | $141.25 | $218.78 |
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 $69.18 Median $117.49 Typical High $151.36 | Professional | 52 · Reduced service | $69.18 | $117.49 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $46.77 Typical High $60.26 | Professional | 53 · Discontinued | $27.54 | $46.77 | $60.26 |
Where Mississippi sits
The same service costs 4.3 times more in Alabama than in Indiana. 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
$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.