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 $19.50 Median $24.55 Typical High $218.78 | Facility | None | $19.50 | $24.55 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $19.50 Median $37.15 Typical High $41.69 | Professional | None (both parts) | $19.50 | $37.15 | $41.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2.88 Median $5.50 Typical High $6.17 | Professional | 26 · Professional part | $2.88 | $5.50 | $6.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $31.62 Typical High $35.48 | Professional | TC · Technical part | $16.60 | $31.62 | $35.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $20.89 Median $20.89 Typical High $23.44 | Professional | None (both parts) | $20.89 | $20.89 | $23.44 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $3.02 Median $3.55 Typical High $5.01 | Professional | 26 · Professional part | $3.02 | $3.55 | $5.01 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $87.10 | $87.10 | $87.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $42.66 Typical High $93.33 | Professional | None (both parts) | $22.91 | $42.66 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.39 Median $6.03 Typical High $8.51 | Professional | 26 · Professional part | $3.39 | $6.03 | $8.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $36.31 Typical High $72.44 | Professional | TC · Technical part | $20.89 | $36.31 | $72.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $2.88 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $2.88 | $33.11 | $33.11 |
United Setting Professional Modifier None (both parts) Typical Low $21.88 Median $30.20 Typical High $141.25 | Professional | None (both parts) | $21.88 | $30.20 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.95 Median $3.89 Typical High $8.51 | Professional | 26 · Professional part | $2.95 | $3.89 | $8.51 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $25.12 Typical High $117.49 | Professional | TC · Technical part | $19.05 | $25.12 | $117.49 |
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 $9.77 Median $18.62 Typical High $20.89 | Professional | 52 · Reduced service | $9.77 | $18.62 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $7.41 Typical High $8.32 | Professional | 53 · Discontinued | $3.89 | $7.41 | $8.32 |
Where Mississippi sits
The same service costs 2.9 times more in Kansas than in Maryland. 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· 28th of 51
$37.15
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.