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 $17.38 Median $17.38 Typical High $28.84 | Facility | None | $17.38 | $17.38 | $28.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $17.38 Median $19.95 Typical High $28.84 | Professional | None (both parts) | $17.38 | $19.95 | $28.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.85 Typical High $23.44 | Professional | 26 · Professional part | $14.13 | $15.85 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.24 Median $3.89 Typical High $5.75 | Professional | TC · Technical part | $3.24 | $3.89 | $5.75 |
BCBS Mississippi Setting Facility Modifier None Typical Low $2.09 Median $2.09 Typical High $2.29 | Facility | None | $2.09 | $2.09 | $2.29 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None (both parts) | $41.69 | $41.69 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $223.87 Typical High $251.19 | Facility | None | $39.81 | $223.87 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $10.96 Median $10.96 Typical High $30.20 | Professional | None (both parts) | $10.96 | $10.96 | $30.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $8.71 Typical High $18.62 | Professional | 26 · Professional part | $8.71 | $8.71 | $18.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $2.19 Median $2.19 Typical High $11.75 | Professional | TC · Technical part | $2.19 | $2.19 | $11.75 |
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 $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 $13.49 Median $15.49 Typical High $37.15 | Professional | None (both parts) | $13.49 | $15.49 | $37.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.88 Typical High $14.79 | Professional | 26 · Professional part | $10.96 | $12.88 | $14.79 |
United Setting Professional Modifier TC · Technical part Typical Low $2.51 Median $2.95 Typical High $23.99 | Professional | TC · Technical part | $2.51 | $2.95 | $23.99 |
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 $8.51 Median $9.77 Typical High $14.45 | Professional | 52 · Reduced service | $8.51 | $9.77 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.98 Typical High $5.75 | Professional | 53 · Discontinued | $3.47 | $3.98 | $5.75 |
Where Mississippi sits
The same service costs 2.6 times more in California 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· 26th of 51
$19.05
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.