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 $354.81 Median $1,348.96 Typical High $2,818.38 | Facility | None | $354.81 | $1,348.96 | $2,818.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $323.59 Typical High $354.81 | Professional | None (both parts) | $169.82 | $323.59 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $199.53 Typical High $223.87 | Professional | 26 · Professional part | $104.71 | $199.53 | $223.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $120.23 Typical High $134.90 | Professional | TC · Technical part | $63.10 | $120.23 | $134.90 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $190.55 | $190.55 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,000.00 Typical High $5,128.61 | Facility | None | $758.58 | $1,000.00 | $5,128.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $275.42 Typical High $346.74 | Professional | None (both parts) | $181.97 | $275.42 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $169.82 Typical High $218.78 | Professional | 26 · Professional part | $109.65 | $169.82 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $104.71 Typical High $131.83 | Professional | TC · Technical part | $69.18 | $104.71 | $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 $467.74 Median $758.58 Typical High $10,471.29 | Facility | None | $467.74 | $758.58 | $10,471.29 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $218.78 Typical High $436.52 | Professional | None (both parts) | $181.97 | $218.78 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $131.83 Typical High $275.42 | Professional | 26 · Professional part | $112.20 | $131.83 | $275.42 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $87.10 Typical High $169.82 | Professional | TC · Technical part | $69.18 | $87.10 | $169.82 |
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 $85.11 Median $162.18 Typical High $177.83 | Professional | 52 · Reduced service | $85.11 | $162.18 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $64.57 Typical High $70.79 | Professional | 53 · Discontinued | $33.88 | $64.57 | $70.79 |
Where Mississippi sits
The same service costs 30.2 times more in Oklahoma than in Hawaii. 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· 24th of 51
$347
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.