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 $1,047.13 Median $1,995.26 Typical High $2,187.76 | Professional | None (both parts) | $1,047.13 | $1,995.26 | $2,187.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $645.65 Typical High $724.44 | Professional | 26 · Professional part | $338.84 | $645.65 | $724.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $1,318.26 Typical High $1,479.11 | Professional | TC · Technical part | $691.83 | $1,318.26 | $1,479.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $446.68 Typical High $501.19 | Professional | 26 · Professional part | $398.11 | $446.68 | $501.19 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Facility | None | $1,862.09 | $1,862.09 | $1,862.09 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | None (both parts) | $2,454.71 | $2,454.71 | $2,454.71 |
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 $1,122.02 Median $1,698.24 Typical High $2,137.96 | Professional | None (both parts) | $1,122.02 | $1,698.24 | $2,137.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $549.54 Typical High $707.95 | Professional | 26 · Professional part | $354.81 | $549.54 | $707.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $1,174.90 Typical High $1,412.54 | Professional | TC · Technical part | $758.58 | $1,174.90 | $1,412.54 |
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 $1,148.15 Median $1,380.38 Typical High $2,754.23 | Professional | None (both parts) | $1,148.15 | $1,380.38 | $2,754.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $446.68 Typical High $933.25 | Professional | 26 · Professional part | $354.81 | $446.68 | $933.25 |
United Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $933.25 Typical High $1,862.09 | Professional | TC · Technical part | $758.58 | $933.25 | $1,862.09 |
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 $776.25 Median $1,479.11 Typical High $1,659.59 | Professional | 54 · Surgery only | $776.25 | $1,479.11 | $1,659.59 |
Where Mississippi sits
The same service costs 3.9 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
$1,995
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.