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 $891.25 Median $1,513.56 Typical High $4,466.84 | Facility | None | $891.25 | $1,513.56 | $4,466.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,778.28 Typical High $1,995.26 | Professional | None (both parts) | $933.25 | $1,778.28 | $1,995.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $537.03 Typical High $602.56 | Professional | 26 · Professional part | $281.84 | $537.03 | $602.56 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $1,258.93 Typical High $1,380.38 | Professional | TC · Technical part | $660.69 | $1,258.93 | $1,380.38 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | 26 · Professional part | $707.95 | $707.95 | $707.95 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None (both parts) | $1,778.28 | $1,778.28 | $1,778.28 |
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 $1,000.00 Median $1,548.82 Typical High $1,862.09 | Professional | None (both parts) | $1,000.00 | $1,548.82 | $1,862.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $457.09 Typical High $602.56 | Professional | 26 · Professional part | $295.12 | $457.09 | $602.56 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $1,071.52 Typical High $1,288.25 | Professional | TC · Technical part | $707.95 | $1,071.52 | $1,288.25 |
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 $1,000.00 Median $1,230.27 Typical High $2,398.83 | Professional | None (both parts) | $1,000.00 | $1,230.27 | $2,398.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $371.54 Typical High $794.33 | Professional | 26 · Professional part | $295.12 | $371.54 | $794.33 |
United Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $851.14 Typical High $1,698.24 | Professional | TC · Technical part | $676.08 | $851.14 | $1,698.24 |
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 $707.95 Median $1,348.96 Typical High $1,479.11 | Professional | 54 · Surgery only | $707.95 | $1,348.96 | $1,479.11 |
Where Mississippi sits
The same service costs 4.0 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· 25th of 51
$1,778
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.