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 $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $1,479.11 Typical High $1,479.11 | Professional | None | $831.76 | $1,479.11 | $1,479.11 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
Cigna 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 |
Cigna Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $1,230.27 | Professional | None | $891.25 | $891.25 | $1,230.27 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,041.74 Typical High $2,398.83 | Facility | None | $851.14 | $2,041.74 | $2,398.83 |
United Setting Professional Modifier None Typical Low $489.78 Median $691.83 Typical High $1,122.02 | Professional | None | $489.78 | $691.83 | $1,122.02 |
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 $446.68 Median $741.31 Typical High $741.31 | Professional | 52 · Reduced service | $446.68 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $295.12 Typical High $295.12 | Professional | 53 · Discontinued | $177.83 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $223.87 Typical High $223.87 | Professional | 55 · Aftercare only | $134.90 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $89.13 Median $147.91 Typical High $147.91 | Professional | 56 · Pre-op care only | $89.13 | $147.91 | $147.91 |
Where Mississippi sits
The same service costs 2.1 times more in Wisconsin than in Florida. 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· 22nd of 51
$1,148
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.