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 $102.33 Median $102.33 Typical High $213.80 | Facility | None | $102.33 | $102.33 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $194.98 Typical High $213.80 | Professional | None (both parts) | $102.33 | $194.98 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $97.72 Typical High $109.65 | Professional | 26 · Professional part | $51.29 | $97.72 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $95.50 Typical High $104.71 | Professional | TC · Technical part | $50.12 | $95.50 | $104.71 |
BCBS Mississippi Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $162.18 | $162.18 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $229.09 Typical High $416.87 | Facility | None | $70.79 | $229.09 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $169.82 Typical High $190.55 | Professional | None (both parts) | $100.00 | $169.82 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $97.72 Typical High $138.04 | Professional | 26 · Professional part | $52.48 | $97.72 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $74.13 Typical High $87.10 | Professional | TC · Technical part | $31.62 | $74.13 | $87.10 |
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 $562.34 Median $812.83 Typical High $912.01 | Facility | None | $562.34 | $812.83 | $912.01 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $120.23 Typical High $245.47 | Professional | None (both parts) | $95.50 | $120.23 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $64.57 Typical High $134.90 | Professional | 26 · Professional part | $50.12 | $64.57 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $54.95 Typical High $112.20 | Professional | TC · Technical part | $42.66 | $54.95 | $112.20 |
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 $51.29 Median $97.72 Typical High $107.15 | Professional | 52 · Reduced service | $51.29 | $97.72 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $38.90 Typical High $42.66 | Professional | 53 · Discontinued | $20.42 | $38.90 | $42.66 |
Where Mississippi sits
The same service costs 3.8 times more in Minnesota than in Utah. 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· 15th of 51
$162
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.