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 $302.00 Median $575.44 Typical High $645.65 | Professional | 26 · Professional part | $302.00 | $575.44 | $645.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $1,202.26 Typical High $1,348.96 | Professional | TC · Technical part | $630.96 | $1,202.26 | $1,348.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $398.11 Typical High $467.74 | Professional | 26 · Professional part | $354.81 | $398.11 | $467.74 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | None (both parts) | $2,754.23 | $2,754.23 | $2,754.23 |
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 $1,023.29 Median $1,621.81 Typical High $1,995.26 | Professional | None (both parts) | $1,023.29 | $1,621.81 | $1,995.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $524.81 Typical High $645.65 | Professional | 26 · Professional part | $316.23 | $524.81 | $645.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $1,122.02 Typical High $1,348.96 | Professional | TC · Technical part | $707.95 | $1,122.02 | $1,348.96 |
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 $1,047.13 Median $1,288.25 Typical High $2,570.40 | Professional | None (both parts) | $1,047.13 | $1,288.25 | $2,570.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $407.38 Typical High $851.14 | Professional | 26 · Professional part | $316.23 | $407.38 | $851.14 |
United Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $891.25 Typical High $1,737.80 | Professional | TC · Technical part | $724.44 | $891.25 | $1,737.80 |
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 3.8 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· 21st of 51
$1,862
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.