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 $158.49 Median $158.49 Typical High $269.15 | Facility | None | $158.49 | $158.49 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $269.15 Typical High $302.00 | Professional | None (both parts) | $158.49 | $269.15 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $69.18 Typical High $77.62 | Professional | 26 · Professional part | $40.74 | $69.18 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $199.53 Typical High $223.87 | Professional | TC · Technical part | $109.65 | $199.53 | $223.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $97.72 | Professional | 26 · Professional part | $19.95 | $19.95 | $97.72 |
BCBS Mississippi Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $186.21 | $186.21 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $100.00 Typical High $114.82 | Facility | None | $91.20 | $100.00 | $114.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $144.54 Typical High $269.15 | Professional | None (both parts) | $77.62 | $144.54 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $52.48 Typical High $89.13 | Professional | 26 · Professional part | $19.95 | $52.48 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $91.20 Typical High $186.21 | Professional | TC · Technical part | $57.54 | $91.20 | $186.21 |
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 $213.80 Median $309.03 Typical High $346.74 | Facility | None | $213.80 | $309.03 | $346.74 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $134.90 Typical High $251.19 | Professional | None (both parts) | $91.20 | $134.90 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $46.77 Typical High $114.82 | Professional | 26 · Professional part | $26.30 | $46.77 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $85.11 Typical High $169.82 | Professional | TC · Technical part | $54.95 | $85.11 | $169.82 |
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 $79.43 Median $131.83 Typical High $151.36 | Professional | 52 · Reduced service | $79.43 | $131.83 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $53.70 Typical High $60.26 | Professional | 53 · Discontinued | $31.62 | $53.70 | $60.26 |
Where Mississippi sits
The same service costs 4.9 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· 21st of 51
$186
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.