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 $190.55 Median $891.25 Typical High $1,995.26 | Facility | None | $190.55 | $891.25 | $1,995.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $363.08 Typical High $398.11 | Professional | None (both parts) | $190.55 | $363.08 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $281.84 Typical High $309.03 | Professional | 26 · Professional part | $147.91 | $281.84 | $309.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $85.11 Typical High $93.33 | Professional | TC · Technical part | $44.67 | $85.11 | $93.33 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $263.03 | $263.03 | $263.03 |
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 $199.53 Median $302.00 Typical High $398.11 | Professional | None (both parts) | $199.53 | $302.00 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $229.09 Typical High $302.00 | Professional | 26 · Professional part | $147.91 | $229.09 | $302.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $72.44 Typical High $95.50 | Professional | TC · Technical part | $47.86 | $72.44 | $95.50 |
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 $204.17 Median $239.88 Typical High $501.19 | Professional | None (both parts) | $204.17 | $239.88 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $181.97 Typical High $380.19 | Professional | 26 · Professional part | $154.88 | $181.97 | $380.19 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $58.88 Typical High $117.49 | Professional | TC · Technical part | $47.86 | $58.88 | $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 $95.50 Median $181.97 Typical High $199.53 | Professional | 52 · Reduced service | $95.50 | $181.97 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $72.44 Typical High $81.28 | Professional | 53 · Discontinued | $38.02 | $72.44 | $81.28 |
Where Mississippi sits
The same service costs 5.9 times more in Louisiana than in Alabama. 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
$389
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.