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 $758.58 Median $1,348.96 Typical High $2,818.38 | Facility | None | $758.58 | $1,348.96 | $2,818.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $588.84 Median $1,122.02 Typical High $1,230.27 | Professional | None (both parts) | $588.84 | $1,122.02 | $1,230.27 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $660.69 Typical High $741.31 | Professional | 26 · Professional part | $346.74 | $660.69 | $741.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $457.09 Typical High $501.19 | Professional | TC · Technical part | $239.88 | $457.09 | $501.19 |
BCBS Mississippi Setting Facility Modifier None Typical Low $7,943.28 Median $7,943.28 Typical High $8,511.38 | Facility | None | $7,943.28 | $7,943.28 | $8,511.38 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None (both parts) | $676.08 | $676.08 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $3,548.13 Median $4,265.80 Typical High $8,128.31 | Facility | None | $3,548.13 | $4,265.80 | $8,128.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $630.96 Median $954.99 Typical High $1,230.27 | Professional | None (both parts) | $630.96 | $954.99 | $1,230.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $562.34 Typical High $724.44 | Professional | 26 · Professional part | $363.08 | $562.34 | $724.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $389.05 Typical High $512.86 | Professional | TC · Technical part | $263.03 | $389.05 | $512.86 |
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 $1,380.38 Median $3,311.31 Typical High $12,302.69 | Facility | None | $1,380.38 | $3,311.31 | $12,302.69 |
United Setting Professional Modifier None (both parts) Typical Low $645.65 Median $794.33 Typical High $1,584.89 | Professional | None (both parts) | $645.65 | $794.33 | $1,584.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $457.09 Typical High $933.25 | Professional | 26 · Professional part | $371.54 | $457.09 | $933.25 |
United Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $338.84 Typical High $676.08 | Professional | TC · Technical part | $269.15 | $338.84 | $676.08 |
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 $295.12 Median $562.34 Typical High $616.60 | Professional | 52 · Reduced service | $295.12 | $562.34 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $223.87 Typical High $245.47 | Professional | 53 · Discontinued | $117.49 | $223.87 | $245.47 |
Where Mississippi sits
The same service costs 7.1 times more in Texas 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· 25th of 51
$1,230
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.