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 $69.18 Median $69.18 Typical High $147.91 | Facility | None | $69.18 | $69.18 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $131.83 Typical High $147.91 | Professional | None (both parts) | $69.18 | $131.83 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $66.07 Typical High $72.44 | Professional | 26 · Professional part | $34.67 | $66.07 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $67.61 Typical High $74.13 | Professional | TC · Technical part | $35.48 | $67.61 | $74.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $77.62 Median $83.18 Typical High $93.33 | Professional | None (both parts) | $77.62 | $83.18 | $93.33 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $45.71 Typical High $45.71 | Professional | 26 · Professional part | $38.90 | $45.71 | $45.71 |
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 $79.43 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $79.43 | $79.43 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $31.62 Typical High $61.66 | Facility | None | $26.92 | $31.62 | $61.66 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $102.33 Typical High $107.15 | Professional | None (both parts) | $60.26 | $102.33 | $107.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $57.54 Typical High $70.79 | Professional | 26 · Professional part | $34.67 | $57.54 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $33.11 Typical High $54.95 | Professional | TC · Technical part | $28.18 | $33.11 | $54.95 |
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 $53.70 Median $67.61 Typical High $107.15 | Professional | None (both parts) | $53.70 | $67.61 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $43.65 Typical High $67.61 | Professional | 26 · Professional part | $33.88 | $43.65 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $28.84 Typical High $46.77 | Professional | TC · Technical part | $16.98 | $28.84 | $46.77 |
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 $34.67 Median $66.07 Typical High $74.13 | Professional | 52 · Reduced service | $34.67 | $66.07 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $26.30 Typical High $29.51 | Professional | 53 · Discontinued | $13.80 | $26.30 | $29.51 |
Where Mississippi sits
The same service costs 3.4 times more in Alaska 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· 31st of 51
$79.43
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.