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 $1,380.38 Typical High $2,818.38 | Facility | None | $758.58 | $1,380.38 | $2,818.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $724.44 Median $1,380.38 Typical High $1,548.82 | Professional | None (both parts) | $724.44 | $1,380.38 | $1,548.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $562.34 Median $1,071.52 Typical High $1,174.90 | Professional | 26 · Professional part | $562.34 | $1,071.52 | $1,174.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $323.59 Typical High $354.81 | Professional | TC · Technical part | $169.82 | $323.59 | $354.81 |
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 $954.99 Median $954.99 Typical High $954.99 | Professional | None (both parts) | $954.99 | $954.99 | $954.99 |
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 $776.25 Median $1,174.90 Typical High $1,513.56 | Professional | None (both parts) | $776.25 | $1,174.90 | $1,513.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $588.84 Median $891.25 Typical High $1,174.90 | Professional | 26 · Professional part | $588.84 | $891.25 | $1,174.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $275.42 Typical High $354.81 | Professional | TC · Technical part | $186.21 | $275.42 | $354.81 |
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 $1,000.00 Median $1,148.15 Typical High $2,454.71 | Professional | None (both parts) | $1,000.00 | $1,148.15 | $2,454.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $588.84 Median $724.44 Typical High $1,479.11 | Professional | 26 · Professional part | $588.84 | $724.44 | $1,479.11 |
United Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $426.58 Typical High $977.24 | Professional | TC · Technical part | $354.81 | $426.58 | $977.24 |
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 $363.08 Median $691.83 Typical High $776.25 | Professional | 52 · Reduced service | $363.08 | $691.83 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $275.42 Typical High $309.03 | Professional | 53 · Discontinued | $144.54 | $275.42 | $309.03 |
Where Mississippi sits
The same service costs 5.2 times more in Louisiana 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· 26th of 51
$1,549
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.