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 $169.82 Median $169.82 Typical High $288.40 | Facility | None | $169.82 | $169.82 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $288.40 Typical High $371.54 | Professional | None (both parts) | $169.82 | $288.40 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $54.95 Typical High $70.79 | Professional | 26 · Professional part | $32.36 | $54.95 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $234.42 Typical High $302.00 | Professional | TC · Technical part | $138.04 | $234.42 | $302.00 |
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 $302.00 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $302.00 | $302.00 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $234.42 Typical High $724.44 | Facility | None | $194.98 | $234.42 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $257.04 Typical High $346.74 | Professional | None (both parts) | $158.49 | $257.04 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $46.77 Typical High $66.07 | Professional | 26 · Professional part | $28.84 | $46.77 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $208.93 Typical High $288.40 | Professional | TC · Technical part | $131.83 | $208.93 | $288.40 |
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 $190.55 Typical High $302.00 | Professional | None (both parts) | $147.91 | $190.55 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $34.67 Typical High $75.86 | Professional | 26 · Professional part | $27.54 | $34.67 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $154.88 Typical High $234.42 | Professional | TC · Technical part | $120.23 | $154.88 | $234.42 |
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 $85.11 Median $144.54 Typical High $186.21 | Professional | 52 · Reduced service | $85.11 | $144.54 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $57.54 Typical High $74.13 | Professional | 53 · Discontinued | $33.88 | $57.54 | $74.13 |
Where Mississippi sits
The same service costs 4.6 times more in Alaska 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· 29th 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.