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 $57.54 Median $57.54 Typical High $97.72 | Facility | None | $57.54 | $57.54 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $97.72 Typical High $125.89 | Professional | None (both parts) | $57.54 | $97.72 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $12.02 Typical High $15.49 | Professional | 26 · Professional part | $6.92 | $12.02 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $85.11 Typical High $109.65 | Professional | TC · Technical part | $50.12 | $85.11 | $109.65 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $107.15 | $107.15 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $79.43 Typical High $138.04 | Facility | None | $75.86 | $79.43 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $91.20 Typical High $125.89 | Professional | None (both parts) | $54.95 | $91.20 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $10.00 Typical High $14.45 | Professional | 26 · Professional part | $6.31 | $10.00 | $14.45 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $81.28 Typical High $112.20 | Professional | TC · Technical part | $48.98 | $81.28 | $112.20 |
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 $53.70 Median $69.18 Typical High $141.25 | Professional | None (both parts) | $53.70 | $69.18 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $7.94 Typical High $20.42 | Professional | 26 · Professional part | $6.03 | $7.94 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $60.26 Typical High $102.33 | Professional | TC · Technical part | $47.86 | $60.26 | $102.33 |
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 $28.18 Median $48.98 Typical High $63.10 | Professional | 52 · Reduced service | $28.18 | $48.98 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $19.50 Typical High $25.12 | Professional | 53 · Discontinued | $11.48 | $19.50 | $25.12 |
Where Mississippi sits
The same service costs 4.6 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· 31st of 51
$91.20
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.