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 $69.18 Median $85.11 Typical High $204.17 | Facility | None | $69.18 | $85.11 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $162.18 Typical High $181.97 | Professional | None (both parts) | $85.11 | $162.18 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $44.67 Typical High $48.98 | Professional | 26 · Professional part | $23.44 | $44.67 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $117.49 Typical High $131.83 | Professional | TC · Technical part | $61.66 | $117.49 | $131.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $109.65 | Professional | None (both parts) | $100.00 | $100.00 | $109.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $23.44 Typical High $36.31 | Professional | 26 · Professional part | $19.05 | $23.44 | $36.31 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $194.98 Typical High $1,000.00 | Facility | None | $97.72 | $194.98 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $141.25 Typical High $204.17 | Professional | None (both parts) | $93.33 | $141.25 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $41.69 Typical High $46.77 | Professional | 26 · Professional part | $26.30 | $41.69 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $109.65 Typical High $158.49 | Professional | TC · Technical part | $70.79 | $109.65 | $158.49 |
Molina Setting Professional Modifier None (both parts) Typical Low $21.38 Median $33.11 Typical High $74.13 | Professional | None (both parts) | $21.38 | $33.11 | $74.13 |
United Setting Facility Modifier None Typical Low $302.00 Median $436.52 Typical High $489.78 | Facility | None | $302.00 | $436.52 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $109.65 Typical High $245.47 | Professional | None (both parts) | $89.13 | $109.65 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.84 Typical High $58.88 | Professional | 26 · Professional part | $23.99 | $28.84 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $85.11 Typical High $177.83 | Professional | TC · Technical part | $63.10 | $85.11 | $177.83 |
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 $42.66 Median $81.28 Typical High $89.13 | Professional | 52 · Reduced service | $42.66 | $81.28 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $32.36 Typical High $36.31 | Professional | 53 · Discontinued | $16.98 | $32.36 | $36.31 |
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· 20th of 51
$141
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.