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 $107.15 Median $107.15 Typical High $181.97 | Facility | None | $107.15 | $107.15 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $181.97 Typical High $204.17 | Professional | None (both parts) | $107.15 | $181.97 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $70.79 Typical High $79.43 | Professional | 26 · Professional part | $41.69 | $70.79 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $109.65 Typical High $123.03 | Professional | TC · Technical part | $66.07 | $109.65 | $123.03 |
BCBS Mississippi Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None (both parts) | $177.83 | $177.83 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $83.18 Typical High $316.23 | Facility | None | $51.29 | $83.18 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $128.82 Typical High $263.03 | Professional | None (both parts) | $54.95 | $128.82 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $51.29 Typical High $109.65 | Professional | 26 · Professional part | $20.42 | $51.29 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $75.86 Typical High $154.88 | Professional | TC · Technical part | $34.67 | $75.86 | $154.88 |
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 $446.68 Median $645.65 Typical High $724.44 | Facility | None | $446.68 | $645.65 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $141.25 Typical High $288.40 | Professional | None (both parts) | $81.28 | $141.25 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $51.29 Typical High $112.20 | Professional | 26 · Professional part | $34.67 | $51.29 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $85.11 Typical High $173.78 | Professional | TC · Technical part | $50.12 | $85.11 | $173.78 |
3 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 $53.70 Median $89.13 Typical High $102.33 | Professional | 52 · Reduced service | $53.70 | $89.13 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $36.31 Typical High $40.74 | Professional | 53 · Discontinued | $21.38 | $36.31 | $40.74 |
Ambetter Setting Professional Modifier 59 · Distinct service + Q6 · Substitute physician, paid per time Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | 59 · Distinct service + Q6 · Substitute physician, paid per time | $64.57 | $64.57 | $64.57 |
Where Mississippi sits
The same service costs 4.5 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· 12th of 51
$182
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.