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 $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $602.56 Typical High $602.56 | Professional | None | $323.59 | $602.56 | $602.56 |
BCBS Mississippi Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
BCBS Mississippi Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $501.19 | Professional | None | $371.54 | $371.54 | $501.19 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $489.78 | Professional | None | $30.20 | $30.20 | $489.78 |
United Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $954.99 | Facility | None | $389.05 | $389.05 | $954.99 |
United Setting Professional Modifier None Typical Low $199.53 Median $281.84 Typical High $436.52 | Professional | None | $199.53 | $281.84 | $436.52 |
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 $162.18 Median $302.00 Typical High $302.00 | Professional | 52 · Reduced service | $162.18 | $302.00 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $120.23 Typical High $120.23 | Professional | 53 · Discontinued | $64.57 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $91.20 Typical High $91.20 | Professional | 55 · Aftercare only | $47.86 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $60.26 Typical High $60.26 | Professional | 56 · Pre-op care only | $32.36 | $60.26 | $60.26 |
Where Mississippi sits
The same service costs 3.0 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
$468
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.