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 $97.72 Median $97.72 Typical High $204.17 | Facility | None | $97.72 | $97.72 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $181.97 Typical High $204.17 | Professional | None (both parts) | $97.72 | $181.97 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $91.20 Typical High $100.00 | Professional | 26 · Professional part | $47.86 | $91.20 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $93.33 Typical High $102.33 | Professional | TC · Technical part | $48.98 | $93.33 | $102.33 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $204.17 Typical High $263.03 | Professional | None (both parts) | $120.23 | $204.17 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $97.72 Typical High $131.83 | Professional | 26 · Professional part | $57.54 | $97.72 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $107.15 Typical High $131.83 | Professional | TC · Technical part | $61.66 | $107.15 | $131.83 |
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 $154.88 Median $181.97 Typical High $426.58 | Professional | None (both parts) | $154.88 | $181.97 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $77.62 Typical High $158.49 | Professional | 26 · Professional part | $50.12 | $77.62 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $109.65 Typical High $263.03 | Professional | TC · Technical part | $89.13 | $109.65 | $263.03 |
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 $47.86 Median $91.20 Typical High $102.33 | Professional | 52 · Reduced service | $47.86 | $91.20 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $37.15 Typical High $40.74 | Professional | 53 · Discontinued | $19.50 | $37.15 | $40.74 |
Where Mississippi sits
The same service costs 3.8 times more in Wisconsin than in Virginia. 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
$204
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.