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 $489.78 Median $489.78 Typical High $851.14 | Facility | None | $489.78 | $489.78 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $851.14 Typical High $1,071.52 | Professional | None (both parts) | $489.78 | $851.14 | $1,071.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $75.86 Typical High $97.72 | Professional | 26 · Professional part | $43.65 | $75.86 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $758.58 Typical High $977.24 | Professional | TC · Technical part | $446.68 | $758.58 | $977.24 |
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 $776.25 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $776.25 | $776.25 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $602.56 Typical High $2,089.30 | Facility | None | $316.23 | $602.56 | $2,089.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $676.08 Typical High $933.25 | Professional | None (both parts) | $467.74 | $676.08 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $67.61 Typical High $97.72 | Professional | 26 · Professional part | $39.81 | $67.61 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $616.60 Typical High $831.76 | Professional | TC · Technical part | $416.87 | $616.60 | $831.76 |
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 $407.38 Median $588.84 Typical High $891.25 | Professional | None (both parts) | $407.38 | $588.84 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $114.82 | Professional | 26 · Professional part | $40.74 | $47.86 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $537.03 Typical High $776.25 | Professional | TC · Technical part | $363.08 | $537.03 | $776.25 |
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 $245.47 Median $416.87 Typical High $537.03 | Professional | 52 · Reduced service | $245.47 | $416.87 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $169.82 Typical High $213.80 | Professional | 53 · Discontinued | $97.72 | $169.82 | $213.80 |
Where Mississippi sits
The same service costs 4.4 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· 29th of 51
$724
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.