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 $51.29 Median $51.29 Typical High $87.10 | Facility | None | $51.29 | $51.29 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $87.10 Typical High $97.72 | Professional | None (both parts) | $51.29 | $87.10 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $48.98 Typical High $54.95 | Professional | 26 · Professional part | $29.51 | $48.98 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $37.15 Typical High $41.69 | Professional | TC · Technical part | $21.88 | $37.15 | $41.69 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $154.88 | $154.88 | $154.88 |
BCBS Mississippi Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $22.91 | Facility | None | $20.89 | $20.89 | $22.91 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None (both parts) | $64.57 | $64.57 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $10.23 Median $15.85 Typical High $18.62 | Facility | None | $10.23 | $15.85 | $18.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $45.71 Typical High $83.18 | Professional | None (both parts) | $25.12 | $45.71 | $83.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $32.36 Typical High $56.23 | Professional | 26 · Professional part | $14.13 | $32.36 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $9.55 Median $11.22 Typical High $27.54 | Professional | TC · Technical part | $9.55 | $11.22 | $27.54 |
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 $28.84 Median $54.95 Typical High $91.20 | Professional | None (both parts) | $28.84 | $54.95 | $91.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $32.36 Typical High $57.54 | Professional | 26 · Professional part | $18.62 | $32.36 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $9.12 Median $19.50 Typical High $37.15 | Professional | TC · Technical part | $9.12 | $19.50 | $37.15 |
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 $25.70 Median $43.65 Typical High $48.98 | Professional | 52 · Reduced service | $25.70 | $43.65 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $17.38 Typical High $19.50 | Professional | 53 · Discontinued | $10.23 | $17.38 | $19.50 |
Where Mississippi sits
The same service costs 4.7 times more in Alaska than in Louisiana. 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
$36.31
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.