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 $371.54 Median $371.54 Typical High $660.69 | Facility | None | $371.54 | $371.54 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $426.58 Typical High $616.60 | Professional | None (both parts) | $371.54 | $426.58 | $616.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $67.61 Typical High $97.72 | Professional | 26 · Professional part | $58.88 | $67.61 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $354.81 Typical High $524.81 | Professional | TC · Technical part | $316.23 | $354.81 | $524.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $338.84 Median $416.87 Typical High $467.74 | Professional | None (both parts) | $338.84 | $416.87 | $467.74 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $61.66 Typical High $77.62 | Professional | 26 · Professional part | $48.98 | $61.66 | $77.62 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None (both parts) | $416.87 | $416.87 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $223.87 Typical High $309.03 | Facility | None | $194.98 | $223.87 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $489.78 Typical High $501.19 | Professional | None (both parts) | $257.04 | $489.78 | $501.19 |
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 $190.55 Median $389.05 Typical High $416.87 | Professional | TC · Technical part | $190.55 | $389.05 | $416.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $741.31 | Professional | None (both parts) | $33.11 | $33.11 | $741.31 |
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 $323.59 Typical High $524.81 | Professional | None (both parts) | $223.87 | $323.59 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $61.66 Typical High $95.50 | Professional | 26 · Professional part | $53.70 | $61.66 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $263.03 Typical High $436.52 | Professional | TC · Technical part | $162.18 | $263.03 | $436.52 |
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 $186.21 Median $263.03 Typical High $309.03 | Professional | 52 · Reduced service | $186.21 | $263.03 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $107.15 Typical High $123.03 | Professional | 53 · Discontinued | $74.13 | $107.15 | $123.03 |
Where Mississippi sits
The same service costs 3.0 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· 24th of 51
$417
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.