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 $213.80 Median $213.80 Typical High $281.84 | Facility | None | $213.80 | $213.80 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $281.84 Typical High $389.05 | Professional | None (both parts) | $213.80 | $281.84 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $60.26 Typical High $81.28 | Professional | 26 · Professional part | $44.67 | $60.26 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $223.87 Typical High $309.03 | Professional | TC · Technical part | $165.96 | $223.87 | $309.03 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $354.81 | $354.81 | $354.81 |
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 $165.96 Median $239.88 Typical High $316.23 | Professional | None (both parts) | $165.96 | $239.88 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $64.57 Typical High $79.43 | Professional | 26 · Professional part | $42.66 | $64.57 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $173.78 Typical High $218.78 | Professional | TC · Technical part | $123.03 | $173.78 | $218.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $120.23 | Professional | None (both parts) | $33.11 | $33.11 | $120.23 |
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 $177.83 Median $229.09 Typical High $295.12 | Professional | None (both parts) | $177.83 | $229.09 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $61.66 Typical High $77.62 | Professional | 26 · Professional part | $44.67 | $61.66 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $165.96 Typical High $223.87 | Professional | TC · Technical part | $134.90 | $165.96 | $223.87 |
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 $107.15 Median $141.25 Typical High $194.98 | Professional | 52 · Reduced service | $107.15 | $141.25 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $56.23 Typical High $77.62 | Professional | 53 · Discontinued | $42.66 | $56.23 | $77.62 |
Where Mississippi sits
The same service costs 3.0 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· 29th of 51
$245
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.