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 $141.25 Median $891.25 Typical High $1,995.26 | Facility | None | $141.25 | $891.25 | $1,995.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $269.15 Typical High $302.00 | Professional | None (both parts) | $141.25 | $269.15 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $131.83 Typical High $144.54 | Professional | 26 · Professional part | $69.18 | $131.83 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $138.04 Typical High $154.88 | Professional | TC · Technical part | $72.44 | $138.04 | $154.88 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $223.87 Typical High $269.15 | Professional | None (both parts) | $151.36 | $223.87 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $109.65 Typical High $141.25 | Professional | 26 · Professional part | $70.79 | $109.65 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $117.49 Typical High $138.04 | Professional | TC · Technical part | $79.43 | $117.49 | $138.04 |
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 $147.91 Median $190.55 Typical High $363.08 | Professional | None (both parts) | $147.91 | $190.55 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $85.11 Typical High $165.96 | Professional | 26 · Professional part | $69.18 | $85.11 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $100.00 Typical High $199.53 | Professional | TC · Technical part | $79.43 | $100.00 | $199.53 |
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 $70.79 Median $134.90 Typical High $151.36 | Professional | 52 · Reduced service | $70.79 | $134.90 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $53.70 Typical High $60.26 | Professional | 53 · Discontinued | $28.18 | $53.70 | $60.26 |
Where Mississippi sits
The same service costs 4.3 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
$195
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.