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 $100.00 Median $100.00 Typical High $165.96 | Facility | None | $100.00 | $100.00 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $123.03 Typical High $165.96 | Professional | None (both parts) | $100.00 | $123.03 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $42.66 Typical High $58.88 | Professional | 26 · Professional part | $35.48 | $42.66 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $83.18 Typical High $107.15 | Professional | TC · Technical part | $64.57 | $83.18 | $107.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $100.00 | $100.00 | $100.00 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None (both parts) | $125.89 | $125.89 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $117.49 Typical High $275.42 | Facility | None | $26.92 | $117.49 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $109.65 Typical High $128.82 | Professional | None (both parts) | $69.18 | $109.65 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $50.12 Typical High $56.23 | Professional | 26 · Professional part | $33.11 | $50.12 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $64.57 Typical High $77.62 | Professional | TC · Technical part | $25.70 | $64.57 | $77.62 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $151.36 | Professional | None (both parts) | $33.11 | $33.11 | $151.36 |
United Setting Facility Modifier None Typical Low $162.18 Median $234.42 Typical High $263.03 | Facility | None | $162.18 | $234.42 | $263.03 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $77.62 Typical High $138.04 | Professional | None (both parts) | $61.66 | $77.62 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.02 Typical High $56.23 | Professional | 26 · Professional part | $32.36 | $38.02 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $40.74 Typical High $85.11 | Professional | TC · Technical part | $17.78 | $40.74 | $85.11 |
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 $50.12 Median $72.44 Typical High $83.18 | Professional | 52 · Reduced service | $50.12 | $72.44 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $28.84 Typical High $33.11 | Professional | 53 · Discontinued | $19.95 | $28.84 | $33.11 |
Where Mississippi sits
The same service costs 3.5 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· 24th 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.