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 $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $446.68 Typical High $446.68 | Professional | None | $269.15 | $446.68 | $446.68 |
BCBS Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
BCBS Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $281.84 | Professional | None | $204.17 | $204.17 | $281.84 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $363.08 | Professional | None | $30.20 | $30.20 | $363.08 |
United Setting Facility Modifier None Typical Low $288.40 Median $389.05 Typical High $707.95 | Facility | None | $288.40 | $389.05 | $707.95 |
United Setting Professional Modifier None Typical Low $147.91 Median $208.93 Typical High $323.59 | Professional | None | $147.91 | $208.93 | $323.59 |
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 $134.90 Median $223.87 Typical High $223.87 | Professional | 52 · Reduced service | $134.90 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $89.13 Typical High $89.13 | Professional | 53 · Discontinued | $53.70 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $67.61 Typical High $67.61 | Professional | 55 · Aftercare only | $40.74 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $44.67 Typical High $44.67 | Professional | 56 · Pre-op care only | $26.92 | $44.67 | $44.67 |
Where Mississippi sits
The same service costs 4.1 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· 18th of 51
$331
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.