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 $85.11 Median $85.11 Typical High $144.54 | Facility | None | $85.11 | $85.11 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $144.54 Typical High $186.21 | Professional | None (both parts) | $85.11 | $144.54 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $27.54 Typical High $35.48 | Professional | 26 · Professional part | $16.22 | $27.54 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $117.49 Typical High $151.36 | Professional | TC · Technical part | $69.18 | $117.49 | $151.36 |
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 $154.88 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $154.88 | $154.88 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $234.42 Typical High $489.78 | Facility | None | $95.50 | $234.42 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $131.83 Typical High $177.83 | Professional | None (both parts) | $77.62 | $131.83 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $23.99 Typical High $34.67 | Professional | 26 · Professional part | $14.45 | $23.99 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $107.15 Typical High $144.54 | Professional | TC · Technical part | $64.57 | $107.15 | $144.54 |
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 $72.44 Median $97.72 Typical High $169.82 | Professional | None (both parts) | $72.44 | $97.72 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $17.78 Typical High $40.74 | Professional | 26 · Professional part | $14.13 | $17.78 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $79.43 Typical High $128.82 | Professional | TC · Technical part | $57.54 | $79.43 | $128.82 |
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 $42.66 Median $72.44 Typical High $93.33 | Professional | 52 · Reduced service | $42.66 | $72.44 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $28.84 Typical High $37.15 | Professional | 53 · Discontinued | $16.98 | $28.84 | $37.15 |
Where Mississippi sits
The same service costs 5.5 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
$132
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.