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 $154.88 Median $154.88 Typical High $331.13 | Facility | None | $154.88 | $154.88 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $295.12 Typical High $331.13 | Professional | None (both parts) | $154.88 | $295.12 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $154.88 Typical High $173.78 | Professional | 26 · Professional part | $83.18 | $154.88 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $138.04 Typical High $154.88 | Professional | TC · Technical part | $72.44 | $138.04 | $154.88 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $251.19 Typical High $323.59 | Professional | None (both parts) | $169.82 | $251.19 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $134.90 Typical High $169.82 | Professional | 26 · Professional part | $89.13 | $134.90 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $117.49 Typical High $154.88 | Professional | TC · Technical part | $81.28 | $117.49 | $154.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $72.44 | Professional | None (both parts) | $33.11 | $33.11 | $72.44 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $295.12 Typical High $676.08 | Professional | None (both parts) | $239.88 | $295.12 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $107.15 Typical High $218.78 | Professional | 26 · Professional part | $87.10 | $107.15 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $194.98 Typical High $436.52 | Professional | TC · Technical part | $158.49 | $194.98 | $436.52 |
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 $77.62 Median $147.91 Typical High $162.18 | Professional | 52 · Reduced service | $77.62 | $147.91 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $58.88 Typical High $66.07 | Professional | 53 · Discontinued | $30.90 | $58.88 | $66.07 |
Where Mississippi sits
The same service costs 3.1 times more in Alaska than in New York. 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
$282
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.