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 $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $389.05 Median $660.69 Typical High $660.69 | Professional | None | $389.05 | $660.69 | $660.69 |
BCBS Mississippi Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Facility | None | $512.86 | $512.86 | $512.86 |
BCBS Mississippi Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None | $512.86 | $512.86 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $489.78 | Professional | None | $354.81 | $354.81 | $489.78 |
United Setting Facility Modifier None Typical Low $165.96 Median $323.59 Typical High $1,071.52 | Facility | None | $165.96 | $323.59 | $1,071.52 |
United Setting Professional Modifier None Typical Low $218.78 Median $309.03 Typical High $489.78 | Professional | None | $218.78 | $309.03 | $489.78 |
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 $213.80 Median $323.59 Typical High $323.59 | Professional | 52 · Reduced service | $213.80 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $131.83 Typical High $131.83 | Professional | 53 · Discontinued | $85.11 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $97.72 Typical High $97.72 | Professional | 55 · Aftercare only | $64.57 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $42.66 Median $66.07 Typical High $66.07 | Professional | 56 · Pre-op care only | $42.66 | $66.07 | $66.07 |
Where Mississippi sits
The same service costs 2.4 times more in Iowa than in Kansas. 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· 18th of 51
$490
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.