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 $154.88 Median $1,318.26 Typical High $2,818.38 | Facility | None | $154.88 | $1,318.26 | $2,818.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $186.21 Typical High $204.17 | Professional | None (both parts) | $97.72 | $186.21 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $141.25 Typical High $158.49 | Professional | 26 · Professional part | $74.13 | $141.25 | $158.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $42.66 Typical High $47.86 | Professional | TC · Technical part | $22.39 | $42.66 | $47.86 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $323.59 | $323.59 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $30,199.52 | Facility | None | $2,238.72 | $2,238.72 | $30,199.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $218.78 Typical High $275.42 | Professional | None (both parts) | $141.25 | $218.78 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $165.96 Typical High $218.78 | Professional | 26 · Professional part | $107.15 | $165.96 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $51.29 Typical High $64.57 | Professional | TC · Technical part | $33.88 | $51.29 | $64.57 |
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 $89.13 Median $295.12 Typical High $2,187.76 | Facility | None | $89.13 | $295.12 | $2,187.76 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $380.19 Typical High $5,128.61 | Professional | None (both parts) | $144.54 | $380.19 | $5,128.61 |
United Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $134.90 Typical High $354.81 | Professional | 26 · Professional part | $112.20 | $134.90 | $354.81 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $269.15 Typical High $4,786.30 | Professional | TC · Technical part | $33.88 | $269.15 | $4,786.30 |
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 $48.98 Median $93.33 Typical High $102.33 | Professional | 52 · Reduced service | $48.98 | $93.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $37.15 Typical High $40.74 | Professional | 53 · Discontinued | $19.50 | $37.15 | $40.74 |
Where Mississippi sits
The same service costs 18.6 times more in Tennessee than in South Carolina. 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· 20th of 51
$275
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.