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 $43.65 Median $43.65 Typical High $72.44 | Facility | None | $43.65 | $43.65 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $54.95 Typical High $72.44 | Professional | None (both parts) | $42.66 | $54.95 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $16.22 Typical High $21.38 | Professional | 26 · Professional part | $12.88 | $16.22 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $38.90 Typical High $51.29 | Professional | TC · Technical part | $30.20 | $38.90 | $51.29 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | 26 · Professional part | $29.51 | $29.51 | $29.51 |
BCBS Mississippi Setting Facility Modifier None Typical Low $234.42 Median $346.74 Typical High $346.74 | Facility | None | $234.42 | $346.74 | $346.74 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None (both parts) | $54.95 | $54.95 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $281.84 | Facility | None | $223.87 | $223.87 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $53.70 Typical High $60.26 | Professional | None (both parts) | $40.74 | $53.70 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $18.62 Typical High $19.05 | Professional | 26 · Professional part | $12.30 | $18.62 | $19.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $35.48 Typical High $41.69 | Professional | TC · Technical part | $24.55 | $35.48 | $41.69 |
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 $162.18 Median $234.42 Typical High $263.03 | Facility | None | $162.18 | $234.42 | $263.03 |
United Setting Professional Modifier None (both parts) Typical Low $35.48 Median $41.69 Typical High $63.10 | Professional | None (both parts) | $35.48 | $41.69 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.88 Typical High $20.42 | Professional | 26 · Professional part | $11.22 | $12.88 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $28.18 Typical High $43.65 | Professional | TC · Technical part | $23.99 | $28.18 | $43.65 |
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 $21.38 Median $36.31 Typical High $36.31 | Professional | 52 · Reduced service | $21.38 | $36.31 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $14.45 Typical High $14.45 | Professional | 53 · Discontinued | $8.51 | $14.45 | $14.45 |
Where Mississippi sits
The same service costs 2.9 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· 20th of 51
$53.70
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.