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 $776.25 Median $1,513.56 Typical High $4,466.84 | Facility | None | $776.25 | $1,513.56 | $4,466.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $2,187.76 Typical High $2,344.23 | Professional | None (both parts) | $1,096.48 | $2,187.76 | $2,344.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $575.44 Typical High $630.96 | Professional | 26 · Professional part | $302.00 | $575.44 | $630.96 |
BCBS Mississippi Setting Facility Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,897.79 | Facility | None | $4,073.80 | $4,073.80 | $4,897.79 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None (both parts) | $2,398.83 | $2,398.83 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $2,884.03 Typical High $4,897.79 | Facility | None | $2,691.53 | $2,884.03 | $4,897.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,659.59 Typical High $2,454.71 | Professional | None (both parts) | $912.01 | $1,659.59 | $2,454.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $489.78 Typical High $616.60 | Professional | 26 · Professional part | $323.59 | $489.78 | $616.60 |
Molina Setting Professional Modifier None (both parts) Typical Low $38.02 Median $42.66 Typical High $50.12 | Professional | None (both parts) | $38.02 | $42.66 | $50.12 |
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 $323.59 Median $380.19 Typical High $776.25 | Professional | None (both parts) | $323.59 | $380.19 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $380.19 Typical High $776.25 | Professional | 26 · Professional part | $323.59 | $380.19 | $776.25 |
6 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 $549.54 Median $1,096.48 Typical High $1,174.90 | Professional | 52 · Reduced service | $549.54 | $1,096.48 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $436.52 Typical High $467.74 | Professional | 53 · Discontinued | $218.78 | $436.52 | $467.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $831.76 Median $1,621.81 Typical High $1,737.80 | Professional | 54 · Surgery only | $831.76 | $1,621.81 | $1,737.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $323.59 Typical High $346.74 | Professional | 55 · Aftercare only | $165.96 | $323.59 | $346.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $109.65 Median $218.78 Typical High $234.42 | Professional | 56 · Pre-op care only | $109.65 | $218.78 | $234.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,584.89 Typical High $1,698.24 | Professional | TC · Technical part | $794.33 | $1,584.89 | $1,698.24 |
Where Mississippi sits
The same service costs 14.5 times more in California than in Maine. 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· 23rd of 51
$2,138
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.