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 $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
Aetna Setting Professional Modifier None Typical Low $954.99 Median $1,548.82 Typical High $1,548.82 | Professional | None | $954.99 | $1,548.82 | $1,548.82 |
BCBS Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Facility | None | $1,202.26 | $1,202.26 | $1,202.26 |
BCBS Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,202.26 | Professional | None | $1,202.26 | $1,202.26 | $1,202.26 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $954.99 | Professional | None | $707.95 | $707.95 | $954.99 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $1,584.89 Typical High $1,584.89 | Professional | None | $30.20 | $1,584.89 | $1,584.89 |
United Setting Facility Modifier None Typical Low $173.78 Median $1,023.29 Typical High $2,511.89 | Facility | None | $173.78 | $1,023.29 | $2,511.89 |
United Setting Professional Modifier None Typical Low $512.86 Median $724.44 Typical High $1,148.15 | Professional | None | $512.86 | $724.44 | $1,148.15 |
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 $776.25 | Professional | 52 · Reduced service | $478.63 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $309.03 Typical High $309.03 | Professional | 53 · Discontinued | $190.55 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $229.09 Typical High $229.09 | Professional | 55 · Aftercare only | $144.54 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $154.88 Typical High $154.88 | Professional | 56 · Pre-op care only | $95.50 | $154.88 | $154.88 |
Where Mississippi sits
The same service costs 3.2 times more in Hawaii than in Delaware. 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
$1,148
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.