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 $41.69 Median $891.25 Typical High $1,995.26 | Facility | None | $41.69 | $891.25 | $1,995.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $79.43 Typical High $87.10 | Professional | None (both parts) | $41.69 | $79.43 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $64.57 Typical High $70.79 | Professional | 26 · Professional part | $33.88 | $64.57 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $7.94 Median $15.14 Typical High $16.60 | Professional | TC · Technical part | $7.94 | $15.14 | $16.60 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | None (both parts) | $93.33 | $93.33 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $954.99 Typical High $30,199.52 | Facility | None | $17.38 | $954.99 | $30,199.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $85.11 Typical High $117.49 | Professional | None (both parts) | $45.71 | $85.11 | $117.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $66.07 Typical High $95.50 | Professional | 26 · Professional part | $37.15 | $66.07 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $8.91 Median $16.98 Typical High $22.91 | Professional | TC · Technical part | $8.91 | $16.98 | $22.91 |
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 $2,818.38 | Facility | None | $467.74 | $758.58 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $67.61 Typical High $138.04 | Professional | None (both parts) | $48.98 | $67.61 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $54.95 Typical High $109.65 | Professional | 26 · Professional part | $37.15 | $54.95 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $11.22 Median $14.45 Typical High $28.18 | Professional | TC · Technical part | $11.22 | $14.45 | $28.18 |
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 $20.89 Median $39.81 Typical High $43.65 | Professional | 52 · Reduced service | $20.89 | $39.81 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $15.85 Typical High $17.38 | Professional | 53 · Discontinued | $8.32 | $15.85 | $17.38 |
Where Mississippi sits
The same service costs 51.3 times more in Oklahoma than in New York. 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· 19th of 51
$93.33
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.