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 $114.82 Median $891.25 Typical High $1,995.26 | Facility | None | $114.82 | $891.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $363.08 Typical High $363.08 | Professional | None | $114.82 | $363.08 | $363.08 |
BCBS Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $758.58 Typical High $1,737.80 | Facility | None | $588.84 | $758.58 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $199.53 Typical High $234.42 | Professional | None | $112.20 | $199.53 | $234.42 |
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 $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 $114.82 Median $144.54 Typical High $316.23 | Professional | None | $114.82 | $144.54 | $316.23 |
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 $57.54 Median $181.97 Typical High $181.97 | Professional | 52 · Reduced service | $57.54 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $72.44 Typical High $72.44 | Professional | 53 · Discontinued | $22.91 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $275.42 Typical High $275.42 | Professional | 54 · Surgery only | $85.11 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $54.95 Typical High $54.95 | Professional | 55 · Aftercare only | $16.98 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $36.31 Typical High $36.31 | Professional | 56 · Pre-op care only | $11.48 | $36.31 | $36.31 |
Where Mississippi sits
The same service costs 3.9 times more in Alaska than in New York. 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· 15th of 51
$219
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.