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 $95.50 Median $95.50 Typical High $165.96 | Facility | None | $95.50 | $95.50 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $165.96 Typical High $213.80 | Professional | None (both parts) | $95.50 | $165.96 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $104.71 Typical High $134.90 | Professional | 26 · Professional part | $61.66 | $104.71 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $60.26 Typical High $77.62 | Professional | TC · Technical part | $35.48 | $60.26 | $77.62 |
BCBS Mississippi Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None (both parts) | $575.44 | $575.44 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $134.90 Typical High $501.19 | Facility | None | $66.07 | $134.90 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $169.82 Typical High $213.80 | Professional | None (both parts) | $87.10 | $169.82 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $107.15 Typical High $131.83 | Professional | 26 · Professional part | $54.95 | $107.15 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $64.57 Typical High $83.18 | Professional | TC · Technical part | $33.11 | $64.57 | $83.18 |
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 $295.12 Median $426.58 Typical High $478.63 | Facility | None | $295.12 | $426.58 | $478.63 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $208.93 Typical High $457.09 | Professional | None (both parts) | $104.71 | $208.93 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $77.62 Typical High $165.96 | Professional | 26 · Professional part | $63.10 | $77.62 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $144.54 Typical High $288.40 | Professional | TC · Technical part | $38.02 | $144.54 | $288.40 |
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 $47.86 Median $83.18 Typical High $104.71 | Professional | 52 · Reduced service | $47.86 | $83.18 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $33.11 Typical High $42.66 | Professional | 53 · Discontinued | $19.50 | $33.11 | $42.66 |
Where Mississippi sits
The same service costs 4.7 times more in Nebraska than in New Jersey. 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· 17th of 51
$195
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.