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 $63.10 Median $63.10 Typical High $131.83 | Facility | None | $63.10 | $63.10 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $120.23 Typical High $131.83 | Professional | None (both parts) | $63.10 | $120.23 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $63.10 Typical High $70.79 | Professional | 26 · Professional part | $33.11 | $63.10 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $54.95 Typical High $61.66 | Professional | TC · Technical part | $29.51 | $54.95 | $61.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $81.28 | $81.28 | $81.28 |
BCBS Mississippi Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | None (both parts) | $77.62 | $77.62 | $77.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $93.33 Typical High $107.15 | Professional | None (both parts) | $58.88 | $93.33 | $107.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $60.26 Typical High $70.79 | Professional | 26 · Professional part | $33.11 | $60.26 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $36.31 Typical High $44.67 | Professional | TC · Technical part | $24.55 | $36.31 | $44.67 |
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 $46.77 Median $67.61 Typical High $75.86 | Facility | None | $46.77 | $67.61 | $75.86 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $66.07 Typical High $138.04 | Professional | None (both parts) | $56.23 | $66.07 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $41.69 Typical High $89.13 | Professional | 26 · Professional part | $33.11 | $41.69 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $25.12 Typical High $51.29 | Professional | TC · Technical part | $19.50 | $25.12 | $51.29 |
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 $31.62 Median $60.26 Typical High $66.07 | Professional | 52 · Reduced service | $31.62 | $60.26 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $23.99 Typical High $26.30 | Professional | 53 · Discontinued | $12.59 | $23.99 | $26.30 |
Where Mississippi sits
The same service costs 3.3 times more in Alaska 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· 23rd of 51
$77.62
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.