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 $81.28 Median $81.28 Typical High $107.15 | Facility | None | $81.28 | $81.28 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $107.15 Typical High $147.91 | Professional | None (both parts) | $81.28 | $107.15 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $58.88 Typical High $81.28 | Professional | 26 · Professional part | $43.65 | $58.88 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $50.12 Typical High $67.61 | Professional | TC · Technical part | $37.15 | $50.12 | $67.61 |
BCBS Mississippi Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $100.00 | $100.00 | $100.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $79.43 | Professional | None (both parts) | $67.61 | $67.61 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $42.66 | Professional | 26 · Professional part | $36.31 | $36.31 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $32.36 Typical High $37.15 | Professional | TC · Technical part | $31.62 | $32.36 | $37.15 |
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 $74.13 Median $107.15 Typical High $120.23 | Facility | None | $74.13 | $107.15 | $120.23 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $79.43 Typical High $93.33 | Professional | None (both parts) | $70.79 | $79.43 | $93.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $43.65 Typical High $50.12 | Professional | 26 · Professional part | $38.02 | $43.65 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $35.48 Typical High $42.66 | Professional | TC · Technical part | $29.51 | $35.48 | $42.66 |
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 $40.74 Median $53.70 Typical High $74.13 | Professional | 52 · Reduced service | $40.74 | $53.70 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $21.88 Typical High $29.51 | Professional | 53 · Discontinued | $16.22 | $21.88 | $29.51 |
Where Mississippi sits
The same service costs 3.7 times more in Alaska than in New Jersey. 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· 31st of 51
$83.18
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.