How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $177.83 Median $204.17 Typical High $371.54 | Facility | None | $177.83 | $204.17 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $338.84 Typical High $371.54 | Professional | None (both parts) | $177.83 | $338.84 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $125.89 Typical High $138.04 | Professional | 26 · Professional part | $66.07 | $125.89 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $208.93 Typical High $234.42 | Professional | TC · Technical part | $109.65 | $208.93 | $234.42 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $112.20 Typical High $134.90 | Professional | 26 · Professional part | $100.00 | $112.20 | $134.90 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $288.40 | $288.40 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $346.74 Typical High $436.52 | Professional | None (both parts) | $199.53 | $346.74 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $131.83 Typical High $165.96 | Professional | 26 · Professional part | $72.44 | $131.83 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $223.87 Typical High $269.15 | Professional | TC · Technical part | $125.89 | $223.87 | $269.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $89.13 Median $295.12 Typical High $1,096.48 | Facility | None | $89.13 | $295.12 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $281.84 Typical High $588.84 | Professional | None (both parts) | $229.09 | $281.84 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $102.33 Typical High $204.17 | Professional | 26 · Professional part | $69.18 | $102.33 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $190.55 Typical High $389.05 | Professional | TC · Technical part | $158.49 | $190.55 | $389.05 |
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 $89.13 Median $169.82 Typical High $186.21 | Professional | 52 · Reduced service | $89.13 | $169.82 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $67.61 Typical High $74.13 | Professional | 53 · Discontinued | $35.48 | $67.61 | $74.13 |
Where Mississippi sits
The same service costs 4.3 times more in Wisconsin than in Oregon. 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· 34th of 51
$288
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.