How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $190.55 Median $190.55 Typical High $398.11 | Facility | None | $190.55 | $190.55 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $363.08 Typical High $398.11 | Professional | None (both parts) | $190.55 | $363.08 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $109.65 Typical High $120.23 | Professional | 26 · Professional part | $57.54 | $109.65 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $251.19 Typical High $275.42 | Professional | TC · Technical part | $131.83 | $251.19 | $275.42 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $194.98 | $194.98 | $194.98 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $64.57 | Professional | 26 · Professional part | $57.54 | $57.54 | $64.57 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $331.13 | $331.13 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $407.38 Typical High $1,023.29 | Facility | None | $177.83 | $407.38 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $316.23 Typical High $398.11 | Professional | None (both parts) | $213.80 | $316.23 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $102.33 Typical High $154.88 | Professional | 26 · Professional part | $63.10 | $102.33 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $204.17 Typical High $281.84 | Professional | TC · Technical part | $151.36 | $204.17 | $281.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $165.96 | Professional | None (both parts) | $33.11 | $33.11 | $165.96 |
United Setting Facility Modifier None Typical Low $691.83 Median $1,000.00 Typical High $1,122.02 | Facility | None | $691.83 | $1,000.00 | $1,122.02 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $223.87 Typical High $512.86 | Professional | None (both parts) | $208.93 | $223.87 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $70.79 Typical High $147.91 | Professional | 26 · Professional part | $58.88 | $70.79 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $154.88 Typical High $354.81 | Professional | TC · Technical part | $141.25 | $154.88 | $354.81 |
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 $95.50 Median $181.97 Typical High $199.53 | Professional | 52 · Reduced service | $95.50 | $181.97 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $72.44 Typical High $79.43 | Professional | 53 · Discontinued | $38.02 | $72.44 | $79.43 |
Where Mississippi sits
The same service costs 3.5 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· 22nd of 51
$295
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.