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 $177.83 Median $177.83 Typical High $302.00 | Facility | None | $177.83 | $177.83 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $302.00 Typical High $389.05 | Professional | None (both parts) | $177.83 | $302.00 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $38.02 Typical High $47.86 | Professional | 26 · Professional part | $21.88 | $38.02 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $269.15 Typical High $338.84 | Professional | TC · Technical part | $154.88 | $269.15 | $338.84 |
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 $295.12 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $295.12 | $295.12 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $234.42 Typical High $724.44 | Facility | None | $213.80 | $234.42 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $257.04 Typical High $354.81 | Professional | None (both parts) | $169.82 | $257.04 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $31.62 Typical High $45.71 | Professional | 26 · Professional part | $19.50 | $31.62 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $223.87 Typical High $316.23 | Professional | TC · Technical part | $147.91 | $223.87 | $316.23 |
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 $147.91 Median $194.98 Typical High $302.00 | Professional | None (both parts) | $147.91 | $194.98 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $23.44 Typical High $51.29 | Professional | 26 · Professional part | $19.05 | $23.44 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $169.82 Typical High $251.19 | Professional | TC · Technical part | $128.82 | $169.82 | $251.19 |
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 $89.13 Median $151.36 Typical High $194.98 | Professional | 52 · Reduced service | $89.13 | $151.36 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $60.26 Typical High $77.62 | Professional | 53 · Discontinued | $35.48 | $60.26 | $77.62 |
Where Mississippi sits
The same service costs 4.8 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· 32nd of 51
$257
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.