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 $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
Aetna Setting Professional Modifier None Typical Low $1,737.80 Median $2,884.03 Typical High $2,884.03 | Professional | None | $1,737.80 | $2,884.03 | $2,884.03 |
BCBS Mississippi Setting Facility Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Facility | None | $2,238.72 | $2,238.72 | $2,238.72 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | None | $2,238.72 | $2,238.72 | $2,238.72 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,819.70 | Professional | None | $1,318.26 | $1,318.26 | $1,819.70 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $2,398.83 | Professional | None | $30.20 | $30.20 | $2,398.83 |
United Setting Facility Modifier None Typical Low $1,778.28 Median $2,041.74 Typical High $4,786.30 | Facility | None | $1,778.28 | $2,041.74 | $4,786.30 |
United Setting Professional Modifier None Typical Low $977.24 Median $1,380.38 Typical High $2,187.76 | Professional | None | $977.24 | $1,380.38 | $2,187.76 |
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 $851.14 Median $1,445.44 Typical High $1,445.44 | Professional | 52 · Reduced service | $851.14 | $1,445.44 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $346.74 Median $588.84 Typical High $588.84 | Professional | 53 · Discontinued | $346.74 | $588.84 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $257.04 Median $436.52 Typical High $436.52 | Professional | 55 · Aftercare only | $257.04 | $436.52 | $436.52 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $173.78 Median $288.40 Typical High $288.40 | Professional | 56 · Pre-op care only | $173.78 | $288.40 | $288.40 |
Where Mississippi sits
The same service costs 3.1 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· 20th of 51
$2,188
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.