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 $112.20 Median $112.20 Typical High $186.21 | Facility | None | $112.20 | $112.20 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $134.90 Typical High $186.21 | Professional | None (both parts) | $112.20 | $134.90 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $81.28 Typical High $112.20 | Professional | 26 · Professional part | $67.61 | $81.28 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $60.26 Typical High $72.44 | Professional | TC · Technical part | $43.65 | $60.26 | $72.44 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $138.04 | Professional | None (both parts) | $125.89 | $125.89 | $138.04 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None (both parts) | $186.21 | $186.21 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $275.42 | Facility | None | $223.87 | $223.87 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $169.82 Typical High $194.98 | Professional | None (both parts) | $109.65 | $169.82 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $95.50 Typical High $107.15 | Professional | 26 · Professional part | $63.10 | $95.50 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $67.61 Typical High $77.62 | Professional | TC · Technical part | $43.65 | $67.61 | $77.62 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $154.88 | Professional | None (both parts) | $33.11 | $33.11 | $154.88 |
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 $107.15 Median $125.89 Typical High $190.55 | Professional | None (both parts) | $107.15 | $125.89 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $72.44 Typical High $109.65 | Professional | 26 · Professional part | $63.10 | $72.44 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $52.48 Typical High $81.28 | Professional | TC · Technical part | $43.65 | $52.48 | $81.28 |
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 $56.23 Median $89.13 Typical High $93.33 | Professional | 52 · Reduced service | $56.23 | $89.13 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $36.31 Typical High $37.15 | Professional | 53 · Discontinued | $22.39 | $36.31 | $37.15 |
Where Mississippi sits
The same service costs 3.8 times more in Alaska than in Utah. 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· 13th of 51
$162
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.