How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $22.91 Median $30.20 Typical High $50.12 | Facility | None | $22.91 | $30.20 | $50.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $50.12 Typical High $57.54 | Professional | None (both parts) | $30.20 | $50.12 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $10.96 Typical High $12.30 | Professional | 26 · Professional part | $6.46 | $10.96 | $12.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $39.81 Typical High $44.67 | Professional | TC · Technical part | $23.44 | $39.81 | $44.67 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $91.20 | Professional | None (both parts) | $17.78 | $17.78 | $91.20 |
BCBS Mississippi Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None (both parts) | $46.77 | $46.77 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $20.42 Typical High $54.95 | Facility | None | $16.60 | $20.42 | $54.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $14.45 Median $30.20 Typical High $83.18 | Professional | None (both parts) | $14.45 | $30.20 | $83.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.16 Median $7.08 Typical High $12.30 | Professional | 26 · Professional part | $3.16 | $7.08 | $12.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $11.75 Median $19.50 Typical High $72.44 | Professional | TC · Technical part | $11.75 | $19.50 | $72.44 |
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 $46.77 Median $67.61 Typical High $75.86 | Facility | None | $46.77 | $67.61 | $75.86 |
United Setting Professional Modifier None (both parts) Typical Low $19.05 Median $32.36 Typical High $67.61 | Professional | None (both parts) | $19.05 | $32.36 | $67.61 |
United Setting Professional Modifier 26 · Professional part Typical Low $4.07 Median $7.24 Typical High $12.88 | Professional | 26 · Professional part | $4.07 | $7.24 | $12.88 |
United Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $26.30 Typical High $51.29 | Professional | TC · Technical part | $14.45 | $26.30 | $51.29 |
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 $15.14 Median $25.12 Typical High $28.84 | Professional | 52 · Reduced service | $15.14 | $25.12 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $10.23 Typical High $11.48 | Professional | 53 · Discontinued | $6.03 | $10.23 | $11.48 |
Where Mississippi sits
The same service costs 4.4 times more in Alaska than in Arkansas. 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· 16th of 51
$48.98
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.