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 $141.25 Median $141.25 Typical High $234.42 | Facility | None | $141.25 | $141.25 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $141.25 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $37.15 | $61.66 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $173.78 Typical High $173.78 | Professional | TC · Technical part | $104.71 | $173.78 | $173.78 |
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 $151.36 Typical High $2,187.76 | Facility | None | $93.33 | $151.36 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $218.78 Typical High $251.19 | Professional | None (both parts) | $141.25 | $218.78 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $38.02 Typical High $43.65 | Professional | 26 · Professional part | $23.44 | $38.02 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $177.83 Typical High $208.93 | Professional | TC · Technical part | $117.49 | $177.83 | $208.93 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.90 Median $33.11 Typical High $123.03 | Professional | None (both parts) | $30.90 | $33.11 | $123.03 |
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 $131.83 Median $186.21 Typical High $275.42 | Professional | None (both parts) | $131.83 | $186.21 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $30.90 Typical High $48.98 | Professional | 26 · Professional part | $24.55 | $30.90 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $154.88 Typical High $229.09 | Professional | TC · Technical part | $107.15 | $154.88 | $229.09 |
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 $70.79 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $70.79 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $46.77 Typical High $46.77 | Professional | 53 · Discontinued | $28.18 | $46.77 | $46.77 |
Where Mississippi sits
The same service costs 3.5 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· 16th of 51
$219
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.