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 $64.57 Median $776.25 Typical High $1,995.26 | Facility | None | $64.57 | $776.25 | $1,995.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $134.90 Typical High $165.96 | Professional | None (both parts) | $64.57 | $134.90 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $104.71 Typical High $125.89 | Professional | 26 · Professional part | $50.12 | $104.71 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $31.62 Typical High $40.74 | Professional | TC · Technical part | $14.79 | $31.62 | $40.74 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $75.86 | Professional | 26 · Professional part | $63.10 | $63.10 | $75.86 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $251.19 | $251.19 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $30,199.52 | Facility | None | $501.19 | $501.19 | $30,199.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $295.12 Typical High $371.54 | Professional | None (both parts) | $100.00 | $295.12 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $223.87 Typical High $295.12 | Professional | 26 · Professional part | $77.62 | $223.87 | $295.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $69.18 Typical High $89.13 | Professional | TC · Technical part | $23.44 | $69.18 | $89.13 |
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 $245.47 Median $295.12 Typical High $891.25 | Professional | None (both parts) | $245.47 | $295.12 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $181.97 Typical High $363.08 | Professional | 26 · Professional part | $151.36 | $181.97 | $363.08 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $128.82 Typical High $537.03 | Professional | TC · Technical part | $91.20 | $128.82 | $537.03 |
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 $32.36 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $32.36 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $27.54 Typical High $27.54 | Professional | 53 · Discontinued | $12.88 | $27.54 | $27.54 |
Where Mississippi sits
The same service costs 4.8 times more in Nebraska 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· 33rd of 51
$251
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.