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 $67.61 Median $87.10 Typical High $147.91 | Facility | None | $67.61 | $87.10 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $147.91 Typical High $165.96 | Professional | None (both parts) | $69.18 | $147.91 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $45.71 Typical High $51.29 | Professional | 26 · Professional part | $21.88 | $45.71 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $102.33 Typical High $114.82 | Professional | TC · Technical part | $47.86 | $102.33 | $114.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None (both parts) | $52.48 | $52.48 | $52.48 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $91.20 | $91.20 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $41.69 Typical High $54.95 | Facility | None | $39.81 | $41.69 | $54.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $75.86 Typical High $134.90 | Professional | None (both parts) | $41.69 | $75.86 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $30.90 Typical High $51.29 | Professional | 26 · Professional part | $12.88 | $30.90 | $51.29 |
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 $47.86 Median $93.33 Typical High $158.49 | Professional | None (both parts) | $47.86 | $93.33 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $29.51 Typical High $50.12 | Professional | 26 · Professional part | $16.60 | $29.51 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $64.57 Typical High $102.33 | Professional | TC · Technical part | $32.36 | $64.57 | $102.33 |
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 $43.65 Median $74.13 Typical High $83.18 | Professional | 52 · Reduced service | $43.65 | $74.13 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $29.51 Typical High $33.11 | Professional | 53 · Discontinued | $17.78 | $29.51 | $33.11 |
Where Mississippi sits
The same service costs 5.9 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· 28th of 51
$91.20
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.