How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $23.99 Median $41.69 Typical High $1,096.48 | Facility | None | $23.99 | $41.69 | $1,096.48 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $758.58 Typical High $1,096.48 | Professional | None | $26.92 | $758.58 | $1,096.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.85 Median $501.19 Typical High $645.65 | Professional | 52 · Reduced service | $15.85 | $501.19 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $199.53 Typical High $263.03 | Professional | 53 · Discontinued | $8.32 | $199.53 | $263.03 |
BCBS Mississippi Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
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 $2,041.74 Median $2,951.21 Typical High $3,311.31 | Facility | None | $2,041.74 | $2,951.21 | $3,311.31 |
United Setting Professional Modifier None Typical Low $22.91 Median $851.14 Typical High $1,174.90 | Professional | None | $22.91 | $851.14 | $1,174.90 |
2 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 55 · Aftercare only Typical Low $151.36 Median $165.96 Typical High $194.98 | Professional | 55 · Aftercare only | $151.36 | $165.96 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $109.65 Typical High $128.82 | Professional | 56 · Pre-op care only | $100.00 | $109.65 | $128.82 |
Where Mississippi sits
The same service costs 49.0 times more in Hawaii 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· 47th 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.