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 $758.58 Median $1,318.26 Typical High $2,818.38 | Facility | None | $758.58 | $1,318.26 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $1,778.28 Median $3,981.07 Typical High $8,317.64 | Professional | None | $1,778.28 | $3,981.07 | $8,317.64 |
BCBS Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None | $3,162.28 | $3,162.28 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,000.00 Typical High $1,202.26 | Facility | None | $660.69 | $1,000.00 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $2,398.83 Typical High $3,235.94 | Professional | None | $562.34 | $2,398.83 | $3,235.94 |
Molina Setting Professional Modifier None Typical Low $38.02 Median $42.66 Typical High $50.12 | Professional | None | $38.02 | $42.66 | $50.12 |
United Setting Facility Modifier None Typical Low $323.59 Median $691.83 Typical High $3,090.30 | Facility | None | $323.59 | $691.83 | $3,090.30 |
United Setting Professional Modifier None Typical Low $1,862.09 Median $2,290.87 Typical High $5,623.41 | Professional | None | $1,862.09 | $2,290.87 | $5,623.41 |
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 $891.25 Median $1,995.26 Typical High $4,168.69 | Professional | 52 · Reduced service | $891.25 | $1,995.26 | $4,168.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $794.33 Typical High $1,659.59 | Professional | 53 · Discontinued | $363.08 | $794.33 | $1,659.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,348.96 Median $2,951.21 Typical High $6,309.57 | Professional | 54 · Surgery only | $1,348.96 | $2,951.21 | $6,309.57 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $269.15 Median $602.56 Typical High $1,258.93 | Professional | 55 · Aftercare only | $269.15 | $602.56 | $1,258.93 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $177.83 Median $398.11 Typical High $831.76 | Professional | 56 · Pre-op care only | $177.83 | $398.11 | $831.76 |
Where Mississippi sits
The same service costs 4.7 times more in Alaska than in South 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· 44th of 51
$2,089
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.