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 $2,137.96 Median $2,137.96 Typical High $2,137.96 | Facility | None | $2,137.96 | $2,137.96 | $2,137.96 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $2,137.96 Typical High $2,137.96 | Professional | None | $1,288.25 | $2,137.96 | $2,137.96 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None | $1,659.59 | $1,659.59 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | None | $1,621.81 | $1,621.81 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,621.81 | Professional | None | $1,174.90 | $1,174.90 | $1,621.81 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $1,737.80 | Professional | None | $30.20 | $30.20 | $1,737.80 |
United Setting Facility Modifier None Typical Low $776.25 Median $1,380.38 Typical High $3,388.44 | Facility | None | $776.25 | $1,380.38 | $3,388.44 |
United Setting Professional Modifier None Typical Low $707.95 Median $1,000.00 Typical High $1,584.89 | Professional | None | $707.95 | $1,000.00 | $1,584.89 |
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 $645.65 Median $1,071.52 Typical High $1,071.52 | Professional | 52 · Reduced service | $645.65 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $426.58 Typical High $426.58 | Professional | 53 · Discontinued | $263.03 | $426.58 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $316.23 Typical High $316.23 | Professional | 55 · Aftercare only | $194.98 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $128.82 Median $213.80 Typical High $213.80 | Professional | 56 · Pre-op care only | $128.82 | $213.80 | $213.80 |
Where Mississippi sits
The same service costs 2.7 times more in Hawaii than in Pennsylvania. 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
$1,622
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.