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 $144.54 Median $144.54 Typical High $190.55 | Facility | None | $144.54 | $144.54 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $190.55 Typical High $263.03 | Professional | None (both parts) | $144.54 | $190.55 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $54.95 Typical High $74.13 | Professional | 26 · Professional part | $40.74 | $54.95 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $138.04 Typical High $186.21 | Professional | TC · Technical part | $100.00 | $138.04 | $186.21 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None (both parts) | $25.12 | $25.12 | $25.12 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Facility | None | $549.54 | $549.54 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $134.90 Typical High $181.97 | Professional | None (both parts) | $100.00 | $134.90 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $47.86 Typical High $104.71 | Professional | 26 · Professional part | $38.90 | $47.86 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $57.54 Typical High $107.15 | Professional | TC · Technical part | $40.74 | $57.54 | $107.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $47.86 | Professional | None (both parts) | $33.11 | $33.11 | $47.86 |
United Setting Facility Modifier None Typical Low $269.15 Median $389.05 Typical High $436.52 | Facility | None | $269.15 | $389.05 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $114.82 Typical High $151.36 | Professional | None (both parts) | $93.33 | $114.82 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $45.71 Typical High $57.54 | Professional | 26 · Professional part | $40.74 | $45.71 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $66.07 Typical High $93.33 | Professional | TC · Technical part | $52.48 | $66.07 | $93.33 |
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 $70.79 Median $95.50 Typical High $131.83 | Professional | 52 · Reduced service | $70.79 | $95.50 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $38.02 Typical High $52.48 | Professional | 53 · Discontinued | $28.84 | $38.02 | $52.48 |
Where Mississippi sits
The same service costs 3.2 times more in Alaska than in New York. 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· 33rd of 51
$145
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.