How much rates vary
Facilitymedian $363 · 10th to 90th $91 to $2,188Professionalmedian $794 · 10th to 90th $479 to $1,202
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 $467.74 Median $977.24 Typical High $1,995.26 | Facility | None | $467.74 | $977.24 | $1,995.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $891.25 Typical High $977.24 | Professional | None (both parts) | $467.74 | $891.25 | $977.24 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $676.08 Typical High $758.58 | Professional | 26 · Professional part | $354.81 | $676.08 | $758.58 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $204.17 Typical High $229.09 | Professional | TC · Technical part | $107.15 | $204.17 | $229.09 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None (both parts) | $794.33 | $794.33 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $977.24 Median $977.24 Typical High $30,199.52 | Facility | None | $977.24 | $977.24 | $30,199.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $741.31 Typical High $954.99 | Professional | None (both parts) | $489.78 | $741.31 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $575.44 Typical High $741.31 | Professional | 26 · Professional part | $371.54 | $575.44 | $741.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $173.78 Typical High $223.87 | Professional | TC · Technical part | $117.49 | $173.78 | $223.87 |
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 $89.13 Median $295.12 Typical High $2,187.76 | Facility | None | $89.13 | $295.12 | $2,187.76 |
United Setting Professional Modifier None (both parts) Typical Low $660.69 Median $758.58 Typical High $1,778.28 | Professional | None (both parts) | $660.69 | $758.58 | $1,778.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $467.74 Typical High $933.25 | Professional | 26 · Professional part | $371.54 | $467.74 | $933.25 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $363.08 Typical High $851.14 | Professional | TC · Technical part | $251.19 | $363.08 | $851.14 |
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 $234.42 Median $446.68 Typical High $489.78 | Professional | 52 · Reduced service | $234.42 | $446.68 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $177.83 Typical High $194.98 | Professional | 53 · Discontinued | $93.33 | $177.83 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $660.69 Typical High $741.31 | Professional | 54 · Surgery only | $346.74 | $660.69 | $741.31 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $131.83 Typical High $147.91 | Professional | 55 · Aftercare only | $69.18 | $131.83 | $147.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $89.13 Typical High $97.72 | Professional | 56 · Pre-op care only | $46.77 | $89.13 | $97.72 |
Where Mississippi sits
The same service costs 5.6 times more in Nebraska than in Maryland. 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· 31st of 51
$759
NE $2,818MD $501
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.