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 $501.19 Median $1,000.00 Typical High $3,019.95 | Facility | None | $501.19 | $1,000.00 | $3,019.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $707.95 Median $1,348.96 Typical High $1,479.11 | Professional | None (both parts) | $707.95 | $1,348.96 | $1,479.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $229.09 Typical High $251.19 | Professional | 26 · Professional part | $120.23 | $229.09 | $251.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $1,122.02 Typical High $1,230.27 | Professional | TC · Technical part | $588.84 | $1,122.02 | $1,230.27 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $154.88 Typical High $263.03 | Professional | 26 · Professional part | $154.88 | $154.88 | $263.03 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None (both parts) | $1,071.52 | $1,071.52 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $1,819.70 Typical High $3,981.07 | Facility | None | $1,584.89 | $1,819.70 | $3,981.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $691.83 Median $1,122.02 Typical High $1,288.25 | Professional | None (both parts) | $691.83 | $1,122.02 | $1,288.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $199.53 Typical High $263.03 | Professional | 26 · Professional part | $123.03 | $199.53 | $263.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $933.25 Typical High $1,047.13 | Professional | TC · Technical part | $575.44 | $933.25 | $1,047.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $1,148.15 Median $2,511.89 Typical High $8,128.31 | Facility | None | $1,148.15 | $2,511.89 | $8,128.31 |
United Setting Professional Modifier None (both parts) Typical Low $691.83 Median $851.14 Typical High $1,698.24 | Professional | None (both parts) | $691.83 | $851.14 | $1,698.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $165.96 Typical High $346.74 | Professional | 26 · Professional part | $125.89 | $165.96 | $346.74 |
United Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $691.83 Typical High $1,445.44 | Professional | TC · Technical part | $549.54 | $691.83 | $1,445.44 |
1 more rate 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 54 · Surgery only Typical Low $524.81 Median $1,000.00 Typical High $1,122.02 | Professional | 54 · Surgery only | $524.81 | $1,000.00 | $1,122.02 |
Where Mississippi sits
The same service costs 4.3 times more in Wisconsin 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· 29th of 51
$1,288
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.