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 $338.84 Median $338.84 Typical High $562.34 | Facility | None | $338.84 | $338.84 | $562.34 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $407.38 Typical High $562.34 | Professional | None (both parts) | $338.84 | $407.38 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $69.18 Typical High $97.72 | Professional | 26 · Professional part | $58.88 | $69.18 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $338.84 Typical High $457.09 | Professional | TC · Technical part | $275.42 | $338.84 | $457.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $79.43 | Professional | 26 · Professional part | $72.44 | $72.44 | $79.43 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None (both parts) | $588.84 | $588.84 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $223.87 Typical High $398.11 | Facility | None | $218.78 | $223.87 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $436.52 Typical High $602.56 | Professional | None (both parts) | $275.42 | $436.52 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $83.18 Typical High $91.20 | Professional | 26 · Professional part | $54.95 | $83.18 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $354.81 Typical High $524.81 | Professional | TC · Technical part | $213.80 | $354.81 | $524.81 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $676.08 | Professional | None (both parts) | $33.11 | $33.11 | $676.08 |
United Setting Facility Modifier None Typical Low $269.15 Median $389.05 Typical High $436.52 | Facility | None | $269.15 | $389.05 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $316.23 Typical High $537.03 | Professional | None (both parts) | $223.87 | $316.23 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $60.26 Typical High $93.33 | Professional | 26 · Professional part | $51.29 | $60.26 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $263.03 Typical High $426.58 | Professional | TC · Technical part | $173.78 | $263.03 | $426.58 |
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 $169.82 Median $239.88 Typical High $281.84 | Professional | 52 · Reduced service | $169.82 | $239.88 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $97.72 Typical High $112.20 | Professional | 53 · Discontinued | $67.61 | $97.72 | $112.20 |
Where Mississippi sits
The same service costs 3.2 times more in Alaska than in New Mexico. 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· 22nd of 51
$407
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.