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 $239.88 Median $239.88 Typical High $407.38 | Facility | None | $239.88 | $239.88 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $407.38 Typical High $524.81 | Professional | None (both parts) | $239.88 | $407.38 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $60.26 Typical High $77.62 | Professional | 26 · Professional part | $34.67 | $60.26 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $346.74 Typical High $446.68 | Professional | TC · Technical part | $204.17 | $346.74 | $446.68 |
BCBS Mississippi Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $446.68 | $446.68 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $323.59 Typical High $1,230.27 | Facility | None | $316.23 | $323.59 | $1,230.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $389.05 Typical High $537.03 | Professional | None (both parts) | $229.09 | $389.05 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $54.95 Typical High $79.43 | Professional | 26 · Professional part | $31.62 | $54.95 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $331.13 Typical High $457.09 | Professional | TC · Technical part | $194.98 | $331.13 | $457.09 |
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 $229.09 Median $288.40 Typical High $489.78 | Professional | None (both parts) | $229.09 | $288.40 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $37.15 Typical High $91.20 | Professional | 26 · Professional part | $32.36 | $37.15 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $239.88 Typical High $389.05 | Professional | TC · Technical part | $194.98 | $239.88 | $389.05 |
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 $120.23 Median $204.17 Typical High $263.03 | Professional | 52 · Reduced service | $120.23 | $204.17 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $81.28 Typical High $104.71 | Professional | 53 · Discontinued | $47.86 | $81.28 | $104.71 |
Where Mississippi sits
The same service costs 3.7 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· 26th of 51
$389
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.