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 $3,388.44 Median $3,388.44 Typical High $3,388.44 | Facility | None | $3,388.44 | $3,388.44 | $3,388.44 |
Aetna Setting Professional Modifier None Typical Low $1,905.46 Median $3,388.44 Typical High $3,388.44 | Professional | None | $1,905.46 | $3,388.44 | $3,388.44 |
BCBS Setting Facility Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Facility | None | $2,630.27 | $2,630.27 | $2,630.27 |
BCBS Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Professional | None | $2,630.27 | $2,630.27 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $2,398.83 | Professional | None | $1,737.80 | $1,737.80 | $2,398.83 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $2,754.23 | Professional | None | $30.20 | $30.20 | $2,754.23 |
United Setting Facility Modifier None Typical Low $1,445.44 Median $1,698.24 Typical High $5,495.41 | Facility | None | $1,445.44 | $1,698.24 | $5,495.41 |
United Setting Professional Modifier None Typical Low $1,122.02 Median $1,584.89 Typical High $2,570.40 | Professional | None | $1,122.02 | $1,584.89 | $2,570.40 |
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 $954.99 Median $1,698.24 Typical High $1,698.24 | Professional | 52 · Reduced service | $954.99 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $676.08 Typical High $676.08 | Professional | 53 · Discontinued | $380.19 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $288.40 Median $512.86 Typical High $512.86 | Professional | 55 · Aftercare only | $288.40 | $512.86 | $512.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $190.55 Median $338.84 Typical High $338.84 | Professional | 56 · Pre-op care only | $190.55 | $338.84 | $338.84 |
Where Mississippi sits
The same service costs 2.2 times more in Arkansas 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· 21st of 51
$2,570
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.