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 $114.82 Median $436.52 Typical High $724.44 | Facility | None | $114.82 | $436.52 | $724.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $524.81 Typical High $724.44 | Professional | None (both parts) | $436.52 | $524.81 | $724.44 |
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 $380.19 Median $457.09 Typical High $630.96 | Professional | TC · Technical part | $380.19 | $457.09 | $630.96 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $169.82 Median $389.05 Typical High $549.54 | Professional | None (both parts) | $169.82 | $389.05 | $549.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $77.62 | Professional | 26 · Professional part | $50.12 | $50.12 | $77.62 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $478.63 | $478.63 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $223.87 Typical High $309.03 | Facility | None | $213.80 | $223.87 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $549.54 Typical High $588.84 | Professional | None (both parts) | $275.42 | $549.54 | $588.84 |
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 $446.68 Typical High $501.19 | Professional | TC · Technical part | $213.80 | $446.68 | $501.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $891.25 | Professional | None (both parts) | $33.11 | $33.11 | $891.25 |
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 $208.93 Median $363.08 Typical High $630.96 | Professional | None (both parts) | $208.93 | $363.08 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $60.26 Typical High $102.33 | Professional | 26 · Professional part | $53.70 | $60.26 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $316.23 Typical High $537.03 | Professional | TC · Technical part | $128.82 | $316.23 | $537.03 |
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 $218.78 Median $316.23 Typical High $363.08 | Professional | 52 · Reduced service | $218.78 | $316.23 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $128.82 Typical High $144.54 | Professional | 53 · Discontinued | $87.10 | $128.82 | $144.54 |
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· 26th of 51
$479
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.