How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $19.50 Median $19.50 Typical High $40.74 | Facility | None | $19.50 | $19.50 | $40.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $19.50 Median $37.15 Typical High $40.74 | Professional | None (both parts) | $19.50 | $37.15 | $40.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $15.14 Typical High $16.60 | Professional | 26 · Professional part | $7.94 | $15.14 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $21.88 Typical High $24.55 | Professional | TC · Technical part | $11.48 | $21.88 | $24.55 |
BCBS Mississippi Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $42.66 | Professional | None (both parts) | $42.66 | $42.66 | $42.66 |
Cigna Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $18.20 | Professional | None (both parts) | $17.78 | $17.78 | $18.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $7.41 Typical High $8.51 | Professional | 26 · Professional part | $7.41 | $7.41 | $8.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $9.77 Median $10.23 Typical High $10.23 | Professional | TC · Technical part | $9.77 | $10.23 | $10.23 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $46.77 Median $67.61 Typical High $75.86 | Facility | None | $46.77 | $67.61 | $75.86 |
United Setting Professional Modifier None (both parts) Typical Low $16.98 Median $19.50 Typical High $33.11 | Professional | None (both parts) | $16.98 | $19.50 | $33.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.12 Typical High $14.13 | Professional | 26 · Professional part | $7.59 | $9.12 | $14.13 |
United Setting Professional Modifier TC · Technical part Typical Low $8.91 Median $10.47 Typical High $17.78 | Professional | TC · Technical part | $8.91 | $10.47 | $17.78 |
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 $9.77 Median $18.62 Typical High $20.42 | Professional | 52 · Reduced service | $9.77 | $18.62 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $7.41 Typical High $8.13 | Professional | 53 · Discontinued | $3.89 | $7.41 | $8.13 |
Where Mississippi sits
The same service costs 2.3 times more in Wisconsin than in North Carolina. 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· 6th of 51
$33.11
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.