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 $95.50 Median $95.50 Typical High $158.49 | Facility | None | $95.50 | $95.50 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $147.91 Typical High $158.49 | Professional | None (both parts) | $95.50 | $147.91 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $61.66 Typical High $66.07 | Professional | 26 · Professional part | $39.81 | $61.66 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $89.13 Typical High $93.33 | Professional | TC · Technical part | $56.23 | $89.13 | $93.33 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $70.79 | $70.79 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $416.87 Typical High $478.63 | Facility | None | $69.18 | $416.87 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $134.90 Typical High $154.88 | Professional | None (both parts) | $91.20 | $134.90 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $57.54 Typical High $63.10 | Professional | 26 · Professional part | $38.02 | $57.54 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $77.62 Typical High $91.20 | Professional | TC · Technical part | $53.70 | $77.62 | $91.20 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $89.13 | Professional | None (both parts) | $33.11 | $33.11 | $89.13 |
United Setting Facility Modifier None Typical Low $467.74 Median $676.08 Typical High $758.58 | Facility | None | $467.74 | $676.08 | $758.58 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $125.89 Typical High $398.11 | Professional | None (both parts) | $87.10 | $125.89 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $43.65 Typical High $69.18 | Professional | 26 · Professional part | $37.15 | $43.65 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $83.18 Typical High $338.84 | Professional | TC · Technical part | $33.88 | $83.18 | $338.84 |
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 $47.86 Median $74.13 Typical High $79.43 | Professional | 52 · Reduced service | $47.86 | $74.13 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $30.20 Typical High $31.62 | Professional | 53 · Discontinued | $19.05 | $30.20 | $31.62 |
Where Mississippi sits
The same service costs 5.4 times more in Hawaii than in Kentucky. 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· 29th of 51
$112
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.