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 $125.89 Median $125.89 Typical High $208.93 | Facility | None | $125.89 | $125.89 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $144.54 Typical High $208.93 | Professional | None (both parts) | $123.03 | $144.54 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $93.33 Typical High $138.04 | Professional | 26 · Professional part | $81.28 | $93.33 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $50.12 Typical High $74.13 | Professional | TC · Technical part | $43.65 | $50.12 | $74.13 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None (both parts) | $97.72 | $97.72 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $234.42 Typical High $426.58 | Facility | None | $50.12 | $234.42 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $109.65 Typical High $144.54 | Professional | None (both parts) | $75.86 | $109.65 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $70.79 Typical High $93.33 | Professional | 26 · Professional part | $28.18 | $70.79 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $47.86 Typical High $72.44 | Professional | TC · Technical part | $26.30 | $47.86 | $72.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $21.38 Median $42.66 Typical High $67.61 | Professional | None (both parts) | $21.38 | $42.66 | $67.61 |
United Setting Facility Modifier None Typical Low $269.15 Median $562.34 Typical High $1,698.24 | Facility | None | $269.15 | $562.34 | $1,698.24 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $89.13 Typical High $131.83 | Professional | None (both parts) | $67.61 | $89.13 | $131.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $34.67 Typical High $64.57 | Professional | 26 · Professional part | $20.89 | $34.67 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $52.48 Typical High $89.13 | Professional | TC · Technical part | $30.90 | $52.48 | $89.13 |
2 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 55 · Aftercare only Typical Low $18.62 Median $21.38 Typical High $31.62 | Professional | 55 · Aftercare only | $18.62 | $21.38 | $31.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $14.45 Typical High $20.89 | Professional | 56 · Pre-op care only | $12.30 | $14.45 | $20.89 |
Where Mississippi sits
The same service costs 4.4 times more in Minnesota than in Alabama. 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
$100
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.