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 $117.49 Median $194.98 Typical High $239.88 | Facility | None | $117.49 | $194.98 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $117.49 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $79.43 Typical High $104.71 | Professional | 26 · Professional part | $63.10 | $79.43 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $91.20 Typical High $91.20 | Professional | TC · Technical part | $54.95 | $91.20 | $91.20 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $218.78 | $218.78 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $141.25 Typical High $2,187.76 | Facility | None | $93.33 | $141.25 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $141.25 Typical High $223.87 | Professional | None (both parts) | $109.65 | $141.25 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $75.86 Typical High $134.90 | Professional | 26 · Professional part | $56.23 | $75.86 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $66.07 Typical High $138.04 | Professional | TC · Technical part | $42.66 | $66.07 | $138.04 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $91.20 | Professional | None (both parts) | $33.11 | $33.11 | $91.20 |
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 $112.20 Median $154.88 Typical High $234.42 | Professional | None (both parts) | $112.20 | $154.88 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $67.61 Typical High $97.72 | Professional | 26 · Professional part | $56.23 | $67.61 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $69.18 Typical High $134.90 | Professional | TC · Technical part | $51.29 | $69.18 | $134.90 |
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 $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $23.44 | $38.90 | $38.90 |
Where Mississippi sits
The same service costs 4.6 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· 29th of 51
$166
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.