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 $141.25 Median $891.25 Typical High $1,995.26 | Facility | None | $141.25 | $891.25 | $1,995.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $269.15 Typical High $295.12 | Professional | None (both parts) | $141.25 | $269.15 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $199.53 Typical High $218.78 | Professional | 26 · Professional part | $104.71 | $199.53 | $218.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $70.79 Typical High $77.62 | Professional | TC · Technical part | $37.15 | $70.79 | $77.62 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $199.53 | $199.53 | $199.53 |
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 $147.91 Median $223.87 Typical High $288.40 | Professional | None (both parts) | $147.91 | $223.87 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $165.96 Typical High $213.80 | Professional | 26 · Professional part | $107.15 | $165.96 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $58.88 Typical High $75.86 | Professional | TC · Technical part | $39.81 | $58.88 | $75.86 |
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 $151.36 Median $177.83 Typical High $363.08 | Professional | None (both parts) | $151.36 | $177.83 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $131.83 Typical High $269.15 | Professional | 26 · Professional part | $109.65 | $131.83 | $269.15 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $47.86 Typical High $95.50 | Professional | TC · Technical part | $38.90 | $47.86 | $95.50 |
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 $70.79 Median $134.90 Typical High $147.91 | Professional | 52 · Reduced service | $70.79 | $134.90 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $53.70 Typical High $58.88 | Professional | 53 · Discontinued | $28.18 | $53.70 | $58.88 |
Where Mississippi sits
The same service costs 8.3 times more in Louisiana 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· 21st 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.