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 $5,248.07 Median $5,248.07 Typical High $5,248.07 | Facility | None | $5,248.07 | $5,248.07 | $5,248.07 |
Aetna Setting Professional Modifier None Typical Low $2,818.38 Median $5,248.07 Typical High $5,248.07 | Professional | None | $2,818.38 | $5,248.07 | $5,248.07 |
BCBS Mississippi Setting Facility Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Facility | None | $4,073.80 | $4,073.80 | $4,073.80 |
BCBS Mississippi Setting Professional Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,073.80 | Professional | None | $4,073.80 | $4,073.80 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Facility | None | $3,715.35 | $3,715.35 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $3,715.35 | Professional | None | $2,754.23 | $2,754.23 | $3,715.35 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $4,265.80 | Professional | None | $30.20 | $30.20 | $4,265.80 |
United Setting Facility Modifier None Typical Low $3,467.37 Median $7,079.46 Typical High $8,511.38 | Facility | None | $3,467.37 | $7,079.46 | $8,511.38 |
United Setting Professional Modifier None Typical Low $1,737.80 Median $2,454.71 Typical High $3,890.45 | Professional | None | $1,737.80 | $2,454.71 | $3,890.45 |
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 $1,548.82 Median $2,630.27 Typical High $2,630.27 | Professional | 52 · Reduced service | $1,548.82 | $2,630.27 | $2,630.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $630.96 Median $1,047.13 Typical High $1,047.13 | Professional | 53 · Discontinued | $630.96 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $467.74 Median $776.25 Typical High $776.25 | Professional | 55 · Aftercare only | $467.74 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $316.23 Median $524.81 Typical High $524.81 | Professional | 56 · Pre-op care only | $316.23 | $524.81 | $524.81 |
Where Mississippi sits
The same service costs 2.9 times more in Hawaii than in Pennsylvania. 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
$3,890
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.