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 $30.20 Median $30.20 Typical High $50.12 | Facility | None | $30.20 | $30.20 | $50.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $47.86 Typical High $50.12 | Professional | None (both parts) | $30.20 | $47.86 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $16.98 Typical High $18.20 | Professional | 26 · Professional part | $10.96 | $16.98 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $30.20 Typical High $31.62 | Professional | TC · Technical part | $19.05 | $30.20 | $31.62 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $64.57 | Professional | None (both parts) | $54.95 | $54.95 | $64.57 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $11.75 Typical High $11.75 | Professional | 26 · Professional part | $10.96 | $11.75 | $11.75 |
BCBS Mississippi Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $234.42 | Facility | None | $162.18 | $162.18 | $234.42 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None (both parts) | $45.71 | $45.71 | $45.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $40.74 Typical High $53.70 | Professional | None (both parts) | $28.18 | $40.74 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $17.78 Typical High $20.89 | Professional | 26 · Professional part | $10.00 | $17.78 | $20.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $22.91 Typical High $30.20 | Professional | TC · Technical part | $18.20 | $22.91 | $30.20 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.92 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $26.92 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $162.18 Median $234.42 Typical High $263.03 | Facility | None | $162.18 | $234.42 | $263.03 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $36.31 Typical High $56.23 | Professional | None (both parts) | $29.51 | $36.31 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $15.85 Typical High $22.91 | Professional | 26 · Professional part | $12.59 | $15.85 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $21.38 Typical High $33.88 | Professional | TC · Technical part | $16.98 | $21.38 | $33.88 |
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 $15.14 Median $25.12 Typical High $25.12 | Professional | 52 · Reduced service | $15.14 | $25.12 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $10.00 Typical High $10.00 | Professional | 53 · Discontinued | $6.03 | $10.00 | $10.00 |
Where Mississippi sits
The same service costs 2.7 times more in Alaska than in Florida. 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· 22nd of 51
$42.66
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.