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 $194.98 Median $891.25 Typical High $1,995.26 | Facility | None | $194.98 | $891.25 | $1,995.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $371.54 Typical High $416.87 | Professional | None (both parts) | $194.98 | $371.54 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $275.42 Typical High $309.03 | Professional | 26 · Professional part | $144.54 | $275.42 | $309.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $97.72 Typical High $107.15 | Professional | TC · Technical part | $51.29 | $97.72 | $107.15 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $281.84 | $281.84 | $281.84 |
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 $208.93 Median $316.23 Typical High $407.38 | Professional | None (both parts) | $208.93 | $316.23 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $229.09 Typical High $302.00 | Professional | 26 · Professional part | $151.36 | $229.09 | $302.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $83.18 Typical High $107.15 | Professional | TC · Technical part | $56.23 | $83.18 | $107.15 |
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 $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 $213.80 Median $251.19 Typical High $512.86 | Professional | None (both parts) | $213.80 | $251.19 | $512.86 |
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 $56.23 Median $70.79 Typical High $141.25 | Professional | TC · Technical part | $56.23 | $70.79 | $141.25 |
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 $97.72 Median $186.21 Typical High $208.93 | Professional | 52 · Reduced service | $97.72 | $186.21 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $74.13 Typical High $83.18 | Professional | 53 · Discontinued | $38.90 | $74.13 | $83.18 |
Where Mississippi sits
The same service costs 5.8 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· 22nd of 51
$407
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.