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 $426.58 Median $426.58 Typical High $707.95 | Facility | None | $426.58 | $426.58 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $588.84 Typical High $707.95 | Professional | None (both parts) | $426.58 | $588.84 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $104.71 Typical High $147.91 | Professional | 26 · Professional part | $89.13 | $104.71 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $446.68 Typical High $562.34 | Professional | TC · Technical part | $331.13 | $446.68 | $562.34 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None (both parts) | $389.05 | $389.05 | $389.05 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $97.72 Typical High $107.15 | Professional | 26 · Professional part | $97.72 | $97.72 | $107.15 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None (both parts) | $691.83 | $691.83 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $398.11 | Facility | None | $223.87 | $223.87 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $234.42 Typical High $691.83 | Professional | None (both parts) | $223.87 | $234.42 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $128.82 Typical High $158.49 | Professional | 26 · Professional part | $83.18 | $128.82 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $416.87 Typical High $575.44 | Professional | TC · Technical part | $239.88 | $416.87 | $575.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $812.83 | Professional | None (both parts) | $33.11 | $33.11 | $812.83 |
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 $309.03 Median $398.11 Typical High $660.69 | Professional | None (both parts) | $309.03 | $398.11 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $95.50 Typical High $158.49 | Professional | 26 · Professional part | $81.28 | $95.50 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $309.03 Typical High $512.86 | Professional | TC · Technical part | $218.78 | $309.03 | $512.86 |
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 $213.80 Median $295.12 Typical High $354.81 | Professional | 52 · Reduced service | $213.80 | $295.12 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $120.23 Typical High $141.25 | Professional | 53 · Discontinued | $85.11 | $120.23 | $141.25 |
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· 32nd of 51
$447
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.