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 $6,165.95 Median $6,165.95 Typical High $6,165.95 | Facility | None | $6,165.95 | $6,165.95 | $6,165.95 |
Aetna Setting Professional Modifier None Typical Low $3,890.45 Median $6,165.95 Typical High $6,165.95 | Professional | None | $3,890.45 | $6,165.95 | $6,165.95 |
BCBS Mississippi Setting Facility Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Facility | None | $4,786.30 | $4,786.30 | $4,786.30 |
BCBS Mississippi Setting Professional Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Professional | None | $4,786.30 | $4,786.30 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $4,677.35 | Professional | None | $3,467.37 | $3,467.37 | $4,677.35 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $5,011.87 Typical High $5,011.87 | Professional | None | $30.20 | $5,011.87 | $5,011.87 |
United Setting Facility Modifier None Typical Low $4,073.80 Median $4,897.79 Typical High $10,000.00 | Facility | None | $4,073.80 | $4,897.79 | $10,000.00 |
United Setting Professional Modifier None Typical Low $2,041.74 Median $2,884.03 Typical High $4,570.88 | Professional | None | $2,041.74 | $2,884.03 | $4,570.88 |
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 $1,949.84 Median $3,090.30 Typical High $3,090.30 | Professional | 52 · Reduced service | $1,949.84 | $3,090.30 | $3,090.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $776.25 Median $1,230.27 Typical High $1,230.27 | Professional | 53 · Discontinued | $776.25 | $1,230.27 | $1,230.27 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $588.84 Median $933.25 Typical High $933.25 | Professional | 55 · Aftercare only | $588.84 | $933.25 | $933.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $389.05 Median $616.60 Typical High $616.60 | Professional | 56 · Pre-op care only | $389.05 | $616.60 | $616.60 |
Where Mississippi sits
The same service costs 3.9 times more in Hawaii than in Washington, DC. 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· 19th of 51
$4,677
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.