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 $77.62 Median $77.62 Typical High $131.83 | Facility | None | $77.62 | $77.62 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $131.83 Typical High $147.91 | Professional | None (both parts) | $77.62 | $131.83 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $32.36 Typical High $37.15 | Professional | 26 · Professional part | $19.50 | $32.36 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $97.72 Typical High $112.20 | Professional | TC · Technical part | $58.88 | $97.72 | $112.20 |
BCBS Mississippi Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $61.66 | Facility | None | $56.23 | $56.23 | $61.66 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None (both parts) | $89.13 | $89.13 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $57.54 Typical High $91.20 | Facility | None | $44.67 | $57.54 | $91.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $77.62 Typical High $158.49 | Professional | None (both parts) | $38.90 | $77.62 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $23.44 Typical High $41.69 | Professional | 26 · Professional part | $9.55 | $23.44 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $60.26 Typical High $109.65 | Professional | TC · Technical part | $29.51 | $60.26 | $109.65 |
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 Professional Modifier None (both parts) Typical Low $51.29 Median $97.72 Typical High $169.82 | Professional | None (both parts) | $51.29 | $97.72 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $22.91 Typical High $43.65 | Professional | 26 · Professional part | $13.80 | $22.91 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $70.79 Typical High $128.82 | Professional | TC · Technical part | $38.90 | $70.79 | $128.82 |
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 $38.90 Median $66.07 Typical High $74.13 | Professional | 52 · Reduced service | $38.90 | $66.07 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $26.30 Typical High $29.51 | Professional | 53 · Discontinued | $15.49 | $26.30 | $29.51 |
Where Mississippi sits
The same service costs 4.0 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· 49th of 51
$63.10
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.