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 $512.86 Median $512.86 Typical High $1,071.52 | Facility | None | $512.86 | $512.86 | $1,071.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $977.24 Typical High $1,071.52 | Professional | None (both parts) | $512.86 | $977.24 | $1,071.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $223.87 Typical High $245.47 | Professional | 26 · Professional part | $117.49 | $223.87 | $245.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $912.01 Typical High $1,023.29 | Professional | TC · Technical part | $478.63 | $912.01 | $1,023.29 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 26 · Professional part | $295.12 | $295.12 | $295.12 |
BCBS Mississippi 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 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $407.38 Typical High $741.31 | Facility | None | $177.83 | $407.38 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $371.54 Typical High $478.63 | Professional | None (both parts) | $234.42 | $371.54 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $190.55 Typical High $251.19 | Professional | 26 · Professional part | $138.04 | $190.55 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $181.97 Typical High $223.87 | Professional | TC · Technical part | $117.49 | $181.97 | $223.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $102.33 | Professional | None (both parts) | $33.11 | $33.11 | $102.33 |
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 $371.54 Median $537.03 Typical High $1,071.52 | Professional | None (both parts) | $371.54 | $537.03 | $1,071.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $158.49 Typical High $338.84 | Professional | 26 · Professional part | $123.03 | $158.49 | $338.84 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $398.11 Typical High $851.14 | Professional | TC · Technical part | $199.53 | $398.11 | $851.14 |
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 $257.04 Median $489.78 Typical High $537.03 | Professional | 52 · Reduced service | $257.04 | $489.78 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $194.98 Typical High $213.80 | Professional | 53 · Discontinued | $102.33 | $194.98 | $213.80 |
Where Mississippi sits
The same service costs 3.1 times more in Alaska than in Washington. 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· 29th of 51
$490
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.