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 $380.19 Median $724.44 Typical High $794.33 | Professional | None (both parts) | $380.19 | $724.44 | $794.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $302.00 Typical High $338.84 | Professional | 26 · Professional part | $158.49 | $302.00 | $338.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $416.87 Typical High $457.09 | Professional | TC · Technical part | $218.78 | $416.87 | $457.09 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None (both parts) | $436.52 | $436.52 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $30,199.52 Median $30,199.52 Typical High $30,199.52 | Facility | None | $30,199.52 | $30,199.52 | $30,199.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $602.56 Typical High $831.76 | Professional | None (both parts) | $309.03 | $602.56 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $295.12 Typical High $1,122.02 | Professional | 26 · Professional part | $165.96 | $295.12 | $1,122.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $363.08 Typical High $478.63 | Professional | TC · Technical part | $181.97 | $363.08 | $478.63 |
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 $223.87 Median $588.84 Typical High $2,691.53 | Facility | None | $223.87 | $588.84 | $2,691.53 |
United Setting Professional Modifier None (both parts) Typical Low $416.87 Median $501.19 Typical High $1,047.13 | Professional | None (both parts) | $416.87 | $501.19 | $1,047.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $199.53 Typical High $446.68 | Professional | 26 · Professional part | $165.96 | $199.53 | $446.68 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $302.00 Typical High $616.60 | Professional | TC · Technical part | $251.19 | $302.00 | $616.60 |
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 $190.55 Median $363.08 Typical High $398.11 | Professional | 52 · Reduced service | $190.55 | $363.08 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $144.54 Typical High $158.49 | Professional | 53 · Discontinued | $75.86 | $144.54 | $158.49 |
Where Mississippi sits
The same service costs 3.0 times more in Wisconsin than in North 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· 31st of 51
$525
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.