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 $630.96 Median $630.96 Typical High $630.96 | Facility | None | $630.96 | $630.96 | $630.96 |
Aetna Setting Professional Modifier None Typical Low $380.19 Median $630.96 Typical High $630.96 | Professional | None | $380.19 | $630.96 | $630.96 |
BCBS Mississippi Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
BCBS Mississippi Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $467.74 | Professional | None | $338.84 | $338.84 | $467.74 |
United Setting Facility Modifier None Typical Low $380.19 Median $416.87 Typical High $1,023.29 | Facility | None | $380.19 | $416.87 | $1,023.29 |
United Setting Professional Modifier None Typical Low $208.93 Median $295.12 Typical High $467.74 | Professional | None | $208.93 | $295.12 | $467.74 |
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 $186.21 Median $316.23 Typical High $316.23 | Professional | 52 · Reduced service | $186.21 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $125.89 Typical High $125.89 | Professional | 53 · Discontinued | $75.86 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $93.33 Typical High $93.33 | Professional | 55 · Aftercare only | $56.23 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $38.02 Median $63.10 Typical High $63.10 | Professional | 56 · Pre-op care only | $38.02 | $63.10 | $63.10 |
Where Mississippi sits
The same service costs 2.9 times more in Hawaii 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· 19th of 51
$479
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.