How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $64.57 Median $64.57 Typical High $107.15 | Facility | None | $64.57 | $64.57 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $85.11 Typical High $107.15 | Professional | None (both parts) | $64.57 | $85.11 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $29.51 Typical High $38.02 | Professional | 26 · Professional part | $22.39 | $29.51 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $58.88 Typical High $69.18 | Professional | TC · Technical part | $41.69 | $58.88 | $69.18 |
BCBS Mississippi Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $91.20 | $91.20 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $93.33 Typical High $104.71 | Professional | None (both parts) | $67.61 | $93.33 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $34.67 Typical High $36.31 | Professional | 26 · Professional part | $23.44 | $34.67 | $36.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $66.07 Typical High $69.18 | Professional | TC · Technical part | $44.67 | $66.07 | $69.18 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $74.13 Median $107.15 Typical High $120.23 | Facility | None | $74.13 | $107.15 | $120.23 |
United Setting Professional Modifier None (both parts) Typical Low $66.07 Median $75.86 Typical High $112.20 | Professional | None (both parts) | $66.07 | $75.86 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $23.99 Typical High $38.02 | Professional | 26 · Professional part | $20.89 | $23.99 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $50.12 Typical High $74.13 | Professional | TC · Technical part | $45.71 | $50.12 | $74.13 |
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 $32.36 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $32.36 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $12.88 | $21.38 | $21.38 |
Where Mississippi sits
The same service costs 4.9 times more in Nebraska 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· 18th of 51
$91.20
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.