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 $354.81 Median $354.81 Typical High $588.84 | Facility | None | $354.81 | $354.81 | $588.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $501.19 Typical High $588.84 | Professional | None (both parts) | $354.81 | $501.19 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $58.88 Typical High $77.62 | Professional | 26 · Professional part | $46.77 | $58.88 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $426.58 Typical High $512.86 | Professional | TC · Technical part | $309.03 | $426.58 | $512.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $48.98 | $48.98 | $48.98 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $346.74 | $346.74 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $478.63 | Facility | None | $416.87 | $416.87 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $467.74 Typical High $489.78 | Professional | None (both parts) | $309.03 | $467.74 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $64.57 Typical High $74.13 | Professional | 26 · Professional part | $43.65 | $64.57 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $389.05 Typical High $426.58 | Professional | TC · Technical part | $263.03 | $389.05 | $426.58 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $741.31 | Professional | None (both parts) | $33.11 | $33.11 | $741.31 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $1,548.82 Typical High $1,737.80 | Facility | None | $1,071.52 | $1,548.82 | $1,737.80 |
United Setting Professional Modifier None (both parts) Typical Low $295.12 Median $323.59 Typical High $524.81 | Professional | None (both parts) | $295.12 | $323.59 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $48.98 Typical High $75.86 | Professional | 26 · Professional part | $42.66 | $48.98 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $275.42 Typical High $446.68 | Professional | TC · Technical part | $251.19 | $275.42 | $446.68 |
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 $177.83 Median $257.04 Typical High $295.12 | Professional | 52 · Reduced service | $177.83 | $257.04 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $102.33 Typical High $120.23 | Professional | 53 · Discontinued | $70.79 | $102.33 | $120.23 |
Where Mississippi sits
The same service costs 3.0 times more in Alaska than in New Mexico. 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· 37th of 51
$355
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.