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 $125.89 Median $758.58 Typical High $1,819.70 | Facility | None | $125.89 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $208.93 Typical High $309.03 | Professional | None | $91.20 | $208.93 | $309.03 |
Ambetter Setting Professional Modifier None Typical Low $123.03 Median $131.83 Typical High $169.82 | Professional | None | $123.03 | $131.83 | $169.82 |
BCBS Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
BCBS Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $93.33 Typical High $524.81 | Facility | None | $74.13 | $93.33 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $162.18 Typical High $245.47 | Professional | None | $112.20 | $162.18 | $245.47 |
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 $346.74 Typical High $1,096.48 | Facility | None | $91.20 | $346.74 | $1,096.48 |
United Setting Professional Modifier None Typical Low $97.72 Median $134.90 Typical High $281.84 | Professional | None | $97.72 | $134.90 | $281.84 |
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 $43.65 Median $104.71 Typical High $154.88 | Professional | 52 · Reduced service | $43.65 | $104.71 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $41.69 Typical High $61.66 | Professional | 53 · Discontinued | $17.38 | $41.69 | $61.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $64.57 Median $158.49 Typical High $229.09 | Professional | 54 · Surgery only | $64.57 | $158.49 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $31.62 Typical High $46.77 | Professional | 55 · Aftercare only | $12.88 | $31.62 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $20.89 Typical High $30.90 | Professional | 56 · Pre-op care only | $8.71 | $20.89 | $30.90 |
Where Mississippi sits
The same service costs 3.2 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· 21st of 51
$182
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.