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 $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $794.33 Typical High $794.33 | Professional | None | $478.63 | $794.33 | $794.33 |
BCBS Mississippi Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
BCBS Mississippi Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $426.58 Typical High $588.84 | Professional | None | $426.58 | $426.58 | $588.84 |
United Setting Facility Modifier None Typical Low $181.97 Median $398.11 Typical High $1,288.25 | Facility | None | $181.97 | $398.11 | $1,288.25 |
United Setting Professional Modifier None Typical Low $263.03 Median $371.54 Typical High $588.84 | Professional | None | $263.03 | $371.54 | $588.84 |
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 $239.88 Median $398.11 Typical High $398.11 | Professional | 52 · Reduced service | $239.88 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $158.49 Typical High $158.49 | Professional | 53 · Discontinued | $95.50 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $117.49 Typical High $117.49 | Professional | 55 · Aftercare only | $70.79 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $79.43 Typical High $79.43 | Professional | 56 · Pre-op care only | $47.86 | $79.43 | $79.43 |
Where Mississippi sits
The same service costs 2.5 times more in Montana than in Alabama. 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· 16th of 51
$589
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.