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 $125.89 Median $199.53 Typical High $416.87 | Facility | None | $125.89 | $199.53 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $380.19 Typical High $416.87 | Professional | None (both parts) | $199.53 | $380.19 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $158.49 Typical High $173.78 | Professional | 26 · Professional part | $83.18 | $158.49 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $218.78 Typical High $239.88 | Professional | TC · Technical part | $114.82 | $218.78 | $239.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 26 · Professional part | $109.65 | $109.65 | $109.65 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None (both parts) | $380.19 | $380.19 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $331.13 Typical High $512.86 | Professional | None (both parts) | $218.78 | $331.13 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $109.65 Typical High $134.90 | Professional | 26 · Professional part | $83.18 | $109.65 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $223.87 Typical High $407.38 | Professional | TC · Technical part | $144.54 | $223.87 | $407.38 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $173.78 | Professional | None (both parts) | $33.11 | $33.11 | $173.78 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $275.42 Typical High $537.03 | Professional | None (both parts) | $208.93 | $275.42 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $87.10 Typical High $144.54 | Professional | 26 · Professional part | $57.54 | $87.10 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $213.80 Typical High $380.19 | Professional | TC · Technical part | $125.89 | $213.80 | $380.19 |
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 $100.00 Median $186.21 Typical High $208.93 | Professional | 52 · Reduced service | $100.00 | $186.21 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $75.86 Typical High $83.18 | Professional | 53 · Discontinued | $39.81 | $75.86 | $83.18 |
Where Mississippi sits
The same service costs 4.7 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· 21st of 51
$331
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.