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 $48.98 Median $48.98 Typical High $64.57 | Facility | None | $48.98 | $48.98 | $64.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $64.57 Typical High $89.13 | Professional | None (both parts) | $48.98 | $64.57 | $89.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $11.48 Typical High $15.49 | Professional | 26 · Professional part | $8.51 | $11.48 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $53.70 Typical High $74.13 | Professional | TC · Technical part | $40.74 | $53.70 | $74.13 |
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 $56.23 Median $56.23 Typical High $56.23 | Professional | None (both parts) | $56.23 | $56.23 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $51.29 | Professional | None (both parts) | $41.69 | $41.69 | $51.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $6.76 Typical High $9.55 | Professional | 26 · Professional part | $6.76 | $6.76 | $9.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $41.69 | Professional | TC · Technical part | $34.67 | $34.67 | $41.69 |
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 $39.81 Median $46.77 Typical High $54.95 | Professional | None (both parts) | $39.81 | $46.77 | $54.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.71 Typical High $9.77 | Professional | 26 · Professional part | $7.59 | $8.71 | $9.77 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $38.02 Typical High $45.71 | Professional | TC · Technical part | $30.90 | $38.02 | $45.71 |
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 $24.55 Median $32.36 Typical High $44.67 | Professional | 52 · Reduced service | $24.55 | $32.36 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $13.18 Typical High $17.78 | Professional | 53 · Discontinued | $9.77 | $13.18 | $17.78 |
Where Mississippi sits
The same service costs 3.5 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· 33rd of 51
$48.98
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.