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 $169.82 Median $169.82 Typical High $281.84 | Facility | None | $169.82 | $169.82 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $199.53 Typical High $281.84 | Professional | None (both parts) | $141.25 | $199.53 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.02 Typical High $46.77 | Professional | 26 · Professional part | $28.18 | $38.02 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $165.96 Typical High $234.42 | Professional | TC · Technical part | $114.82 | $165.96 | $234.42 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $223.87 Typical High $275.42 | Facility | None | $107.15 | $223.87 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $177.83 Typical High $234.42 | Professional | None (both parts) | $125.89 | $177.83 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $39.81 Typical High $45.71 | Professional | 26 · Professional part | $26.30 | $39.81 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $144.54 Typical High $186.21 | Professional | TC · Technical part | $93.33 | $144.54 | $186.21 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $302.00 | Professional | None (both parts) | $33.11 | $33.11 | $302.00 |
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 $93.33 Median $141.25 Typical High $213.80 | Professional | None (both parts) | $93.33 | $141.25 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.20 Typical High $51.29 | Professional | 26 · Professional part | $25.70 | $30.20 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $107.15 Typical High $173.78 | Professional | TC · Technical part | $47.86 | $107.15 | $173.78 |
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 $70.79 Median $102.33 Typical High $141.25 | Professional | 52 · Reduced service | $70.79 | $102.33 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $41.69 Typical High $56.23 | Professional | 53 · Discontinued | $28.18 | $41.69 | $56.23 |
Where Mississippi sits
The same service costs 2.8 times more in Alaska 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· 36th of 51
$158
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.