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 $134.90 Median $134.90 Typical High $223.87 | Facility | None | $134.90 | $134.90 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $162.18 Typical High $223.87 | Professional | None (both parts) | $134.90 | $162.18 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $97.72 Typical High $134.90 | Professional | 26 · Professional part | $81.28 | $97.72 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $72.44 Typical High $87.10 | Professional | TC · Technical part | $52.48 | $72.44 | $87.10 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $120.23 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $120.23 | $151.36 | $151.36 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $97.72 | Professional | 26 · Professional part | $87.10 | $87.10 | $97.72 |
BCBS Mississippi Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $223.87 | $223.87 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $478.63 | Facility | None | $223.87 | $223.87 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $199.53 Typical High $234.42 | Professional | None (both parts) | $131.83 | $199.53 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $114.82 Typical High $128.82 | Professional | 26 · Professional part | $75.86 | $114.82 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $81.28 Typical High $93.33 | Professional | TC · Technical part | $52.48 | $81.28 | $93.33 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $186.21 | Professional | None (both parts) | $33.11 | $33.11 | $186.21 |
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 $128.82 Median $151.36 Typical High $229.09 | Professional | None (both parts) | $128.82 | $151.36 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $87.10 Typical High $131.83 | Professional | 26 · Professional part | $74.13 | $87.10 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $63.10 Typical High $97.72 | Professional | TC · Technical part | $52.48 | $63.10 | $97.72 |
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 $67.61 Median $107.15 Typical High $112.20 | Professional | 52 · Reduced service | $67.61 | $107.15 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $42.66 Typical High $44.67 | Professional | 53 · Discontinued | $26.92 | $42.66 | $44.67 |
Where Mississippi sits
The same service costs 4.0 times more in Alaska than in Texas. 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
$195
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.