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 $131.83 Median $131.83 Typical High $281.84 | Facility | None | $131.83 | $131.83 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $251.19 Typical High $281.84 | Professional | None (both parts) | $131.83 | $251.19 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $63.10 Typical High $69.18 | Professional | 26 · Professional part | $33.11 | $63.10 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $190.55 Typical High $208.93 | Professional | TC · Technical part | $100.00 | $190.55 | $208.93 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $338.84 | $338.84 | $338.84 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $407.38 Typical High $741.31 | Facility | None | $114.82 | $407.38 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $213.80 Typical High $263.03 | Professional | None (both parts) | $141.25 | $213.80 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $54.95 Typical High $67.61 | Professional | 26 · Professional part | $36.31 | $54.95 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $165.96 Typical High $199.53 | Professional | TC · Technical part | $107.15 | $165.96 | $199.53 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $33.11 Typical High $114.82 | Professional | None (both parts) | $30.20 | $33.11 | $114.82 |
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 $128.82 Median $144.54 Typical High $323.59 | Professional | None (both parts) | $128.82 | $144.54 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $40.74 Typical High $85.11 | Professional | 26 · Professional part | $33.88 | $40.74 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $107.15 Typical High $239.88 | Professional | TC · Technical part | $93.33 | $107.15 | $239.88 |
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 $66.07 Median $125.89 Typical High $138.04 | Professional | 52 · Reduced service | $66.07 | $125.89 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $50.12 Typical High $56.23 | Professional | 53 · Discontinued | $26.30 | $50.12 | $56.23 |
Where Mississippi sits
The same service costs 3.0 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· 38th 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.