How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $954.99 Median $954.99 Typical High $1,584.89 | Facility | None | $954.99 | $954.99 | $1,584.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,548.82 Typical High $1,584.89 | Professional | None (both parts) | $954.99 | $1,548.82 | $1,584.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $331.13 Typical High $346.74 | Professional | 26 · Professional part | $208.93 | $331.13 | $346.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $1,230.27 Typical High $1,230.27 | Professional | TC · Technical part | $741.31 | $1,230.27 | $1,230.27 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $234.42 | $234.42 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $2,238.72 | Facility | None | $776.25 | $776.25 | $2,238.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,348.96 Typical High $1,548.82 | Professional | None (both parts) | $912.01 | $1,348.96 | $1,548.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $316.23 Typical High $389.05 | Professional | 26 · Professional part | $194.98 | $316.23 | $389.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $1,096.48 Typical High $1,202.26 | Professional | TC · Technical part | $707.95 | $1,096.48 | $1,202.26 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $1,621.81 | Professional | None (both parts) | $33.11 | $33.11 | $1,621.81 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $1,548.82 Typical High $1,737.80 | Facility | None | $1,071.52 | $1,548.82 | $1,737.80 |
United Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,737.80 Typical High $2,884.03 | Professional | None (both parts) | $812.83 | $1,737.80 | $2,884.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $229.09 Typical High $346.74 | Professional | 26 · Professional part | $199.53 | $229.09 | $346.74 |
United Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $1,548.82 Typical High $2,511.89 | Professional | TC · Technical part | $501.19 | $1,548.82 | $2,511.89 |
4 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 $478.63 Median $776.25 Typical High $794.33 | Professional | 52 · Reduced service | $478.63 | $776.25 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $316.23 Typical High $316.23 | Professional | 53 · Discontinued | $190.55 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $234.42 Typical High $239.88 | Professional | 55 · Aftercare only | $141.25 | $234.42 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $154.88 Typical High $158.49 | Professional | 56 · Pre-op care only | $95.50 | $154.88 | $158.49 |
Where Mississippi sits
The same service costs 11.2 times more in Alaska than in Kentucky. 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
$1,259
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.