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 $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $537.03 Typical High $537.03 | Professional | None | $323.59 | $537.03 | $537.03 |
BCBS Mississippi Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
BCBS Mississippi Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $398.11 | Professional | None | $288.40 | $288.40 | $398.11 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $436.52 | Professional | None | $30.20 | $30.20 | $436.52 |
United Setting Facility Modifier None Typical Low $281.84 Median $331.13 Typical High $870.96 | Facility | None | $281.84 | $331.13 | $870.96 |
United Setting Professional Modifier None Typical Low $177.83 Median $251.19 Typical High $407.38 | Professional | None | $177.83 | $251.19 | $407.38 |
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 $173.78 Median $269.15 Typical High $269.15 | Professional | 52 · Reduced service | $173.78 | $269.15 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $107.15 Typical High $107.15 | Professional | 53 · Discontinued | $69.18 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $81.28 Typical High $81.28 | Professional | 55 · Aftercare only | $51.29 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $53.70 Typical High $53.70 | Professional | 56 · Pre-op care only | $34.67 | $53.70 | $53.70 |
Where Mississippi sits
The same service costs 2.6 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· 18th of 51
$407
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.