How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $120.23 Median $120.23 Typical High $199.53 | Facility | None | $120.23 | $120.23 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $120.23 | $199.53 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $36.31 Typical High $40.74 | Professional | 26 · Professional part | $24.55 | $36.31 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $158.49 Typical High $158.49 | Professional | TC · Technical part | $95.50 | $158.49 | $158.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 26 · Professional part | $24.55 | $24.55 | $24.55 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $229.09 | $229.09 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $169.82 Typical High $2,187.76 | Facility | None | $93.33 | $169.82 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $134.90 Typical High $199.53 | Professional | None (both parts) | $112.20 | $134.90 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $24.55 Typical High $35.48 | Professional | 26 · Professional part | $21.88 | $24.55 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $112.20 Typical High $173.78 | Professional | TC · Technical part | $91.20 | $112.20 | $173.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $19.95 Median $33.11 Typical High $93.33 | Professional | None (both parts) | $19.95 | $33.11 | $93.33 |
United Setting Facility Modifier None Typical Low $131.83 Median $190.55 Typical High $213.80 | Facility | None | $131.83 | $190.55 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $144.54 Typical High $223.87 | Professional | None (both parts) | $109.65 | $144.54 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $23.99 Typical High $38.02 | Professional | 26 · Professional part | $19.50 | $23.99 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $117.49 Typical High $181.97 | Professional | TC · Technical part | $89.13 | $117.49 | $181.97 |
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 $60.26 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $60.26 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $23.99 | $39.81 | $39.81 |
Where Mississippi sits
The same service costs 3.3 times more in Alaska than in Utah. 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· 27th of 51
$158
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.