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 $53.70 Median $776.25 Typical High $1,995.26 | Facility | None | $53.70 | $776.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $117.49 Typical High $251.19 | Professional | None | $53.70 | $117.49 | $251.19 |
Ambetter Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
BCBS Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
BCBS Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $93.33 Typical High $213.80 | Facility | None | $50.12 | $93.33 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $102.33 Typical High $181.97 | Professional | None | $54.95 | $102.33 | $181.97 |
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 $316.23 Typical High $1,096.48 | Facility | None | $91.20 | $316.23 | $1,096.48 |
United Setting Professional Modifier None Typical Low $63.10 Median $120.23 Typical High $177.83 | Professional | None | $63.10 | $120.23 | $177.83 |
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 $26.92 Median $58.88 Typical High $123.03 | Professional | 52 · Reduced service | $26.92 | $58.88 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $23.44 Typical High $50.12 | Professional | 53 · Discontinued | $10.72 | $23.44 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $39.81 Median $89.13 Typical High $186.21 | Professional | 54 · Surgery only | $39.81 | $89.13 | $186.21 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $17.78 Typical High $37.15 | Professional | 55 · Aftercare only | $7.94 | $17.78 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.37 Median $11.75 Typical High $25.12 | Professional | 56 · Pre-op care only | $5.37 | $11.75 | $25.12 |
Where Mississippi sits
The same service costs 3.1 times more in Wisconsin 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· 23rd of 51
$123
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.