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 $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $588.84 Typical High $588.84 | Professional | None | $346.74 | $588.84 | $588.84 |
BCBS Mississippi Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
BCBS Mississippi Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
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 $295.12 Median $295.12 Typical High $398.11 | Professional | None | $295.12 | $295.12 | $398.11 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $478.63 | Professional | None | $30.20 | $30.20 | $478.63 |
United Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $954.99 | Facility | None | $398.11 | $398.11 | $954.99 |
United Setting Professional Modifier None Typical Low $194.98 Median $275.42 Typical High $446.68 | Professional | None | $194.98 | $275.42 | $446.68 |
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 $295.12 Typical High $295.12 | Professional | 52 · Reduced service | $173.78 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $117.49 Typical High $117.49 | Professional | 53 · Discontinued | $70.79 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $89.13 Typical High $89.13 | Professional | 55 · Aftercare only | $52.48 | $89.13 | $89.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $58.88 Typical High $58.88 | Professional | 56 · Pre-op care only | $34.67 | $58.88 | $58.88 |
Where Mississippi sits
The same service costs 3.7 times more in Hawaii than in Delaware. 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
$447
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.