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 $100.00 Median $117.49 Typical High $194.98 | Facility | None | $100.00 | $117.49 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $144.54 Typical High $194.98 | Professional | None (both parts) | $117.49 | $144.54 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $27.54 Typical High $39.81 | Professional | 26 · Professional part | $23.99 | $27.54 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $120.23 Typical High $158.49 | Professional | TC · Technical part | $93.33 | $120.23 | $158.49 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $85.11 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $85.11 | $107.15 | $107.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.99 Typical High $25.12 | Professional | 26 · Professional part | $21.88 | $23.99 | $25.12 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $213.80 | $213.80 | $213.80 |
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 $112.20 Median $173.78 Typical High $223.87 | Professional | None (both parts) | $112.20 | $173.78 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $21.88 Typical High $47.86 | Professional | 26 · Professional part | $18.62 | $21.88 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $154.88 Typical High $177.83 | Professional | TC · Technical part | $91.20 | $154.88 | $177.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $19.50 Median $33.11 Typical High $93.33 | Professional | None (both parts) | $19.50 | $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 $114.82 Median $138.04 Typical High $218.78 | Professional | None (both parts) | $114.82 | $138.04 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $22.39 Typical High $36.31 | Professional | 26 · Professional part | $14.79 | $22.39 | $36.31 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $123.03 Typical High $181.97 | Professional | TC · Technical part | $91.20 | $123.03 | $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 $58.88 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $58.88 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $23.44 | $39.81 | $39.81 |
Where Mississippi sits
The same service costs 3.2 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
$170
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.