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 $1,513.56 Typical High $4,466.84 | Facility | None | $758.58 | $1,513.56 | $4,466.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $741.31 Median $1,412.54 Typical High $1,584.89 | Professional | None (both parts) | $741.31 | $1,412.54 | $1,584.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $407.38 Typical High $457.09 | Professional | 26 · Professional part | $213.80 | $407.38 | $457.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $1,023.29 Typical High $1,122.02 | Professional | TC · Technical part | $537.03 | $1,023.29 | $1,122.02 |
BCBS Mississippi Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None (both parts) | $1,202.26 | $1,202.26 | $1,202.26 |
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 $776.25 Median $1,202.26 Typical High $1,479.11 | Professional | None (both parts) | $776.25 | $1,202.26 | $1,479.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $346.74 Typical High $457.09 | Professional | 26 · Professional part | $223.87 | $346.74 | $457.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $870.96 Typical High $1,000.00 | Professional | TC · Technical part | $549.54 | $870.96 | $1,000.00 |
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 $776.25 Median $954.99 Typical High $1,862.09 | Professional | None (both parts) | $776.25 | $954.99 | $1,862.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $288.40 Typical High $616.60 | Professional | 26 · Professional part | $223.87 | $288.40 | $616.60 |
United Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $660.69 Typical High $1,348.96 | Professional | TC · Technical part | $537.03 | $660.69 | $1,348.96 |
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 $562.34 Median $1,071.52 Typical High $1,174.90 | Professional | 54 · Surgery only | $562.34 | $1,071.52 | $1,174.90 |
Where Mississippi sits
The same service costs 4.2 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· 26th of 51
$1,413
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.