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 $144.54 Median $251.19 Typical High $416.87 | Facility | None | $144.54 | $251.19 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $338.84 Typical High $416.87 | Professional | None (both parts) | $251.19 | $338.84 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $93.33 Typical High $95.50 | Professional | 26 · Professional part | $57.54 | $93.33 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $245.47 Typical High $323.59 | Professional | TC · Technical part | $194.98 | $245.47 | $323.59 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $173.78 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $173.78 | $229.09 | $229.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $56.23 Typical High $74.13 | Professional | 26 · Professional part | $50.12 | $56.23 | $74.13 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | TC · Technical part | $151.36 | $151.36 | $151.36 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $398.11 | $398.11 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $251.19 Typical High $2,187.76 | Facility | None | $194.98 | $251.19 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $398.11 Typical High $467.74 | Professional | None (both parts) | $257.04 | $398.11 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $107.15 Typical High $134.90 | Professional | 26 · Professional part | $51.29 | $107.15 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $288.40 Typical High $354.81 | Professional | TC · Technical part | $190.55 | $288.40 | $354.81 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $199.53 | Professional | None (both parts) | $33.11 | $33.11 | $199.53 |
United Setting Facility Modifier None Typical Low $302.00 Median $436.52 Typical High $489.78 | Facility | None | $302.00 | $436.52 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $323.59 Typical High $512.86 | Professional | None (both parts) | $245.47 | $323.59 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $87.10 Typical High $128.82 | Professional | 26 · Professional part | $52.48 | $87.10 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $239.88 Typical High $380.19 | Professional | TC · Technical part | $190.55 | $239.88 | $380.19 |
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 $125.89 Median $208.93 Typical High $208.93 | Professional | 52 · Reduced service | $125.89 | $208.93 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $85.11 Typical High $85.11 | Professional | 53 · Discontinued | $51.29 | $85.11 | $85.11 |
Where Mississippi sits
The same service costs 3.3 times more in Minnesota 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· 23rd of 51
$347
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.