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 $81.28 Median $102.33 Typical High $169.82 | Facility | None | $81.28 | $102.33 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $169.82 Typical High $190.55 | Professional | None (both parts) | $81.28 | $169.82 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $42.66 Typical High $47.86 | Professional | 26 · Professional part | $20.42 | $42.66 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $128.82 Typical High $144.54 | Professional | TC · Technical part | $60.26 | $128.82 | $144.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $141.25 | Professional | None (both parts) | $60.26 | $60.26 | $141.25 |
BCBS Mississippi Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $123.03 | $123.03 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $60.26 Typical High $93.33 | Facility | None | $54.95 | $60.26 | $93.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $89.13 Typical High $169.82 | Professional | None (both parts) | $46.77 | $89.13 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $27.54 Typical High $50.12 | Professional | 26 · Professional part | $12.30 | $27.54 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $61.66 Typical High $120.23 | Professional | TC · Technical part | $33.88 | $61.66 | $120.23 |
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 $64.57 Median $95.50 Typical High $107.15 | Facility | None | $64.57 | $95.50 | $107.15 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $107.15 Typical High $181.97 | Professional | None (both parts) | $54.95 | $107.15 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $27.54 Typical High $51.29 | Professional | 26 · Professional part | $16.22 | $27.54 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $79.43 Typical High $134.90 | Professional | TC · Technical part | $38.90 | $79.43 | $134.90 |
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 $51.29 Median $85.11 Typical High $95.50 | Professional | 52 · Reduced service | $51.29 | $85.11 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $33.88 Typical High $38.90 | Professional | 53 · Discontinued | $20.42 | $33.88 | $38.90 |
Where Mississippi sits
The same service costs 5.5 times more in Alaska than in Alabama. 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· 20th of 51
$126
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.