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 $776.25 Median $1,659.59 Typical High $4,786.30 | Facility | None | $776.25 | $1,659.59 | $4,786.30 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $457.09 Typical High $512.86 | Professional | 26 · Professional part | $239.88 | $457.09 | $512.86 |
BCBS Mississippi Setting Facility Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,897.79 | Facility | None | $4,073.80 | $4,073.80 | $4,897.79 |
BCBS Mississippi Setting Professional Modifier None (both parts) Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None (both parts) | $2,398.83 | $2,398.83 | $2,398.83 |
Cigna Setting Facility Modifier None Typical Low $2,691.53 Median $2,884.03 Typical High $4,897.79 | Facility | None | $2,691.53 | $2,884.03 | $4,897.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | None (both parts) | $2,454.71 | $2,454.71 | $2,454.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $407.38 Typical High $501.19 | Professional | 26 · Professional part | $269.15 | $407.38 | $501.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $38.02 Median $42.66 Typical High $50.12 | Professional | None (both parts) | $38.02 | $42.66 | $50.12 |
United Setting Facility Modifier None Typical Low $1,148.15 Median $2,511.89 Typical High $8,128.31 | Facility | None | $1,148.15 | $2,511.89 | $8,128.31 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $309.03 Typical High $645.65 | Professional | None (both parts) | $269.15 | $309.03 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $309.03 Typical High $645.65 | Professional | 26 · Professional part | $269.15 | $309.03 | $645.65 |
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 $120.23 Median $234.42 Typical High $257.04 | Professional | 52 · Reduced service | $120.23 | $234.42 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $95.50 Typical High $102.33 | Professional | 53 · Discontinued | $48.98 | $95.50 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $354.81 Typical High $380.19 | Professional | 54 · Surgery only | $181.97 | $354.81 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $70.79 Typical High $75.86 | Professional | 55 · Aftercare only | $36.31 | $70.79 | $75.86 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $46.77 Typical High $51.29 | Professional | 56 · Pre-op care only | $23.99 | $46.77 | $51.29 |
Where Mississippi sits
The same service costs 19.5 times more in Colorado than in Maryland. 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
$2,399
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.