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 $275.42 Median $891.25 Typical High $1,995.26 | Facility | None | $275.42 | $891.25 | $1,995.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $524.81 Typical High $575.44 | Professional | None (both parts) | $275.42 | $524.81 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $416.87 Typical High $457.09 | Professional | 26 · Professional part | $218.78 | $416.87 | $457.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $104.71 Typical High $117.49 | Professional | TC · Technical part | $56.23 | $104.71 | $117.49 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None (both parts) | $407.38 | $407.38 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,000.00 Typical High $5,128.61 | Facility | None | $758.58 | $1,000.00 | $5,128.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $446.68 Typical High $588.84 | Professional | None (both parts) | $288.40 | $446.68 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $354.81 Typical High $467.74 | Professional | 26 · Professional part | $223.87 | $354.81 | $467.74 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $95.50 Typical High $123.03 | Professional | TC · Technical part | $60.26 | $95.50 | $123.03 |
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 $338.84 Median $380.19 Typical High $851.14 | Professional | None (both parts) | $338.84 | $380.19 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $302.00 Typical High $602.56 | Professional | 26 · Professional part | $229.09 | $302.00 | $602.56 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $112.20 Typical High $257.04 | Professional | TC · Technical part | $79.43 | $112.20 | $257.04 |
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 $138.04 Median $263.03 Typical High $288.40 | Professional | 52 · Reduced service | $138.04 | $263.03 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $104.71 Typical High $114.82 | Professional | 53 · Discontinued | $54.95 | $104.71 | $114.82 |
Where Mississippi sits
The same service costs 9.5 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· 24th of 51
$575
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.