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 $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $1,584.89 Typical High $1,584.89 | Professional | None | $851.14 | $1,584.89 | $1,584.89 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Facility | None | $1,230.27 | $1,230.27 | $1,230.27 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None | $1,258.93 | $1,258.93 | $1,258.93 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $954.99 Typical High $954.99 | Facility | None | $954.99 | $954.99 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $954.99 | Professional | None | $691.83 | $691.83 | $954.99 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $1,621.81 Typical High $1,621.81 | Professional | None | $30.20 | $1,621.81 | $1,621.81 |
United Setting Facility Modifier None Typical Low $1,621.81 Median $1,949.84 Typical High $2,290.87 | Facility | None | $1,621.81 | $1,949.84 | $2,290.87 |
United Setting Professional Modifier None Typical Low $537.03 Median $741.31 Typical High $1,071.52 | Professional | None | $537.03 | $741.31 | $1,071.52 |
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 $436.52 Median $794.33 Typical High $794.33 | Professional | 52 · Reduced service | $436.52 | $794.33 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $316.23 Typical High $316.23 | Professional | 53 · Discontinued | $173.78 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $239.88 Typical High $239.88 | Professional | 55 · Aftercare only | $131.83 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $87.10 Median $158.49 Typical High $158.49 | Professional | 56 · Pre-op care only | $87.10 | $158.49 | $158.49 |
Where Mississippi sits
The same service costs 2.4 times more in Montana 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· 21st of 51
$1,096
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.