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 $229.09 Median $891.25 Typical High $1,995.26 | Facility | None | $229.09 | $891.25 | $1,995.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $436.52 Typical High $489.78 | Professional | None (both parts) | $229.09 | $436.52 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $165.96 Typical High $181.97 | Professional | 26 · Professional part | $87.10 | $165.96 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $275.42 Typical High $309.03 | Professional | TC · Technical part | $144.54 | $275.42 | $309.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $134.90 | Professional | 26 · Professional part | $100.00 | $100.00 | $134.90 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $302.00 | $302.00 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $363.08 Typical High $436.52 | Professional | None (both parts) | $245.47 | $363.08 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $134.90 Typical High $177.83 | Professional | 26 · Professional part | $89.13 | $134.90 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $229.09 Typical High $269.15 | Professional | TC · Technical part | $158.49 | $229.09 | $269.15 |
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 $89.13 Median $295.12 Typical High $1,096.48 | Facility | None | $89.13 | $295.12 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $309.03 Typical High $602.56 | Professional | None (both parts) | $245.47 | $309.03 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $104.71 Typical High $208.93 | Professional | 26 · Professional part | $87.10 | $104.71 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $199.53 Typical High $389.05 | Professional | TC · Technical part | $158.49 | $199.53 | $389.05 |
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 $114.82 Median $218.78 Typical High $245.47 | Professional | 52 · Reduced service | $114.82 | $218.78 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $89.13 Typical High $97.72 | Professional | 53 · Discontinued | $46.77 | $89.13 | $97.72 |
Where Mississippi sits
The same service costs 6.5 times more in Wisconsin than in Hawaii. 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· 36th of 51
$309
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.