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 $5,128.61 Median $5,128.61 Typical High $5,128.61 | Facility | None | $5,128.61 | $5,128.61 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $2,630.27 Median $5,128.61 Typical High $5,128.61 | Professional | None | $2,630.27 | $5,128.61 | $5,128.61 |
BCBS Mississippi Setting Facility Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Facility | None | $3,981.07 | $3,981.07 | $3,981.07 |
BCBS Mississippi Setting Professional Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Professional | None | $3,981.07 | $3,981.07 | $3,981.07 |
Cigna Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Facility | None | $3,548.13 | $3,548.13 | $3,548.13 |
Cigna Setting Professional Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $3,548.13 | Professional | None | $2,630.27 | $2,630.27 | $3,548.13 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $4,168.69 | Professional | None | $30.20 | $30.20 | $4,168.69 |
United Setting Facility Modifier None Typical Low $3,235.94 Median $4,365.16 Typical High $7,943.28 | Facility | None | $3,235.94 | $4,365.16 | $7,943.28 |
United Setting Professional Modifier None Typical Low $1,698.24 Median $2,398.83 Typical High $3,630.78 | Professional | None | $1,698.24 | $2,398.83 | $3,630.78 |
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 $1,318.26 Median $2,570.40 Typical High $2,570.40 | Professional | 52 · Reduced service | $1,318.26 | $2,570.40 | $2,570.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $537.03 Median $1,023.29 Typical High $1,023.29 | Professional | 53 · Discontinued | $537.03 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $398.11 Median $758.58 Typical High $758.58 | Professional | 55 · Aftercare only | $398.11 | $758.58 | $758.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $263.03 Median $512.86 Typical High $512.86 | Professional | 56 · Pre-op care only | $263.03 | $512.86 | $512.86 |
Where Mississippi sits
The same service costs 4.3 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· 20th of 51
$3,715
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.