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 $120.23 Median $120.23 Typical High $199.53 | Facility | None | $120.23 | $120.23 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $199.53 Typical High $223.87 | Professional | None (both parts) | $120.23 | $199.53 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $54.95 Typical High $61.66 | Professional | 26 · Professional part | $33.11 | $54.95 | $61.66 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $123.03 | $123.03 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $57.54 Typical High $64.57 | Facility | None | $54.95 | $57.54 | $64.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $83.18 Typical High $162.18 | Professional | None (both parts) | $51.29 | $83.18 | $162.18 |
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 $56.23 Median $117.49 Typical High $186.21 | Professional | None (both parts) | $56.23 | $117.49 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $33.88 Typical High $57.54 | Professional | 26 · Professional part | $19.05 | $33.88 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $83.18 Typical High $141.25 | Professional | TC · Technical part | $35.48 | $83.18 | $141.25 |
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 $58.88 Median $100.00 Typical High $112.20 | Professional | 52 · Reduced service | $58.88 | $100.00 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $39.81 Typical High $45.71 | Professional | 53 · Discontinued | $23.99 | $39.81 | $45.71 |
Where Mississippi sits
The same service costs 4.6 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· 23rd of 51
$123
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.