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 $416.87 Median $1,000.00 Typical High $1,995.26 | Facility | None | $416.87 | $1,000.00 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $933.25 Typical High $1,949.84 | Professional | None | $416.87 | $933.25 | $1,949.84 |
BCBS Mississippi Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,000.00 Typical High $1,202.26 | Facility | None | $660.69 | $1,000.00 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $676.08 Typical High $758.58 | Professional | None | $302.00 | $676.08 | $758.58 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $323.59 Median $691.83 Typical High $3,090.30 | Facility | None | $323.59 | $691.83 | $3,090.30 |
United Setting Professional Modifier None Typical Low $398.11 Median $489.78 Typical High $1,122.02 | Professional | None | $398.11 | $489.78 | $1,122.02 |
5 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 $208.93 Median $467.74 Typical High $977.24 | Professional | 52 · Reduced service | $208.93 | $467.74 | $977.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $186.21 Typical High $389.05 | Professional | 53 · Discontinued | $83.18 | $186.21 | $389.05 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $316.23 Median $691.83 Typical High $1,445.44 | Professional | 54 · Surgery only | $316.23 | $691.83 | $1,445.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $138.04 Typical High $295.12 | Professional | 55 · Aftercare only | $63.10 | $138.04 | $295.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $93.33 Typical High $194.98 | Professional | 56 · Pre-op care only | $41.69 | $93.33 | $194.98 |
Where Mississippi sits
The same service costs 4.1 times more in Wisconsin 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· 14th of 51
$759
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.