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 $501.19 Median $954.99 Typical High $1,071.52 | Professional | None (both parts) | $501.19 | $954.99 | $1,071.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $537.03 Typical High $588.84 | Professional | 26 · Professional part | $281.84 | $537.03 | $588.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $426.58 Typical High $467.74 | Professional | TC · Technical part | $223.87 | $426.58 | $467.74 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $602.56 | $602.56 | $602.56 |
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 $407.38 Median $812.83 Typical High $1,071.52 | Professional | None (both parts) | $407.38 | $812.83 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $512.86 Typical High $1,122.02 | Professional | 26 · Professional part | $288.40 | $512.86 | $1,122.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $363.08 Typical High $478.63 | Professional | TC · Technical part | $186.21 | $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 $537.03 Median $645.65 Typical High $1,348.96 | Professional | None (both parts) | $537.03 | $645.65 | $1,348.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $346.74 Typical High $758.58 | Professional | 26 · Professional part | $281.84 | $346.74 | $758.58 |
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 $251.19 Median $478.63 Typical High $524.81 | Professional | 52 · Reduced service | $251.19 | $478.63 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $190.55 Typical High $213.80 | Professional | 53 · Discontinued | $100.00 | $190.55 | $213.80 |
Where Mississippi sits
The same service costs 3.0 times more in Alaska than in Hawaii. 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
$661
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.