How much rates vary
Facilitymedian $1,413 · 10th to 90th $759 to $5,754Professionalmedian $912 · 10th to 90th $550 to $1,259
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 $549.54 Median $1,047.13 Typical High $1,148.15 | Professional | None (both parts) | $549.54 | $1,047.13 | $1,148.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $398.11 Typical High $436.52 | Professional | 26 · Professional part | $208.93 | $398.11 | $436.52 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $645.65 Typical High $707.95 | Professional | TC · Technical part | $338.84 | $645.65 | $707.95 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 26 · Professional part | $512.86 | $512.86 | $512.86 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None (both parts) | $912.01 | $912.01 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,000.00 Typical High $1,258.93 | Facility | None | $758.58 | $1,000.00 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $630.96 Median $954.99 Typical High $1,258.93 | Professional | None (both parts) | $630.96 | $954.99 | $1,258.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $331.13 Typical High $416.87 | Professional | 26 · Professional part | $204.17 | $331.13 | $416.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $602.56 Typical High $851.14 | Professional | TC · Technical part | $426.58 | $602.56 | $851.14 |
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 $977.24 Median $1,737.80 Typical High $6,456.54 | Facility | None | $977.24 | $1,737.80 | $6,456.54 |
United Setting Professional Modifier None (both parts) Typical Low $616.60 Median $691.83 Typical High $1,621.81 | Professional | None (both parts) | $616.60 | $691.83 | $1,621.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $213.80 Median $269.15 Typical High $537.03 | Professional | 26 · Professional part | $213.80 | $269.15 | $537.03 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $489.78 Typical High $1,096.48 | Professional | TC · Technical part | $147.91 | $489.78 | $1,096.48 |
5 more rates 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 52 · Reduced service Typical Low $275.42 Median $512.86 Typical High $575.44 | Professional | 52 · Reduced service | $275.42 | $512.86 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $208.93 Typical High $229.09 | Professional | 53 · Discontinued | $109.65 | $208.93 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $407.38 Median $776.25 Typical High $851.14 | Professional | 54 · Surgery only | $407.38 | $776.25 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $154.88 Typical High $173.78 | Professional | 55 · Aftercare only | $81.28 | $154.88 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $104.71 Typical High $114.82 | Professional | 56 · Pre-op care only | $54.95 | $104.71 | $114.82 |
Where Mississippi sits
The same service costs 4.4 times more in Wisconsin than in Texas. 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· 30th of 51
$1,000
WI $2,630TX $603
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.