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 $28.84 Median $776.25 Typical High $1,995.26 | Facility | None | $28.84 | $776.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $64.57 Typical High $177.83 | Professional | None | $28.84 | $64.57 | $177.83 |
BCBS Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
BCBS Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $89.13 Typical High $338.84 | Facility | None | $50.12 | $89.13 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $66.07 Typical High $123.03 | Professional | None | $29.51 | $66.07 | $123.03 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $91.20 Median $363.08 Typical High $1,148.15 | Facility | None | $91.20 | $363.08 | $1,148.15 |
United Setting Professional Modifier None Typical Low $33.11 Median $74.13 Typical High $123.03 | Professional | None | $33.11 | $74.13 | $123.03 |
5 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 $14.45 Median $32.36 Typical High $89.13 | Professional | 52 · Reduced service | $14.45 | $32.36 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $12.88 Typical High $35.48 | Professional | 53 · Discontinued | $5.75 | $12.88 | $35.48 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $21.88 Median $47.86 Typical High $131.83 | Professional | 54 · Surgery only | $21.88 | $47.86 | $131.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.37 Median $9.77 Typical High $26.30 | Professional | 55 · Aftercare only | $4.37 | $9.77 | $26.30 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.88 Median $6.46 Typical High $17.78 | Professional | 56 · Pre-op care only | $2.88 | $6.46 | $17.78 |
Where Mississippi sits
The same service costs 3.3 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· 21st of 51
$89.13
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.