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 $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $1,148.15 Typical High $1,148.15 | Professional | None | $660.69 | $1,148.15 | $1,148.15 |
BCBS Mississippi Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
BCBS Mississippi Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $870.96 | Professional | None | $645.65 | $645.65 | $870.96 |
United Setting Facility Modifier None Typical Low $616.60 Median $645.65 Typical High $1,778.28 | Facility | None | $616.60 | $645.65 | $1,778.28 |
United Setting Professional Modifier None Typical Low $380.19 Median $537.03 Typical High $812.83 | Professional | None | $380.19 | $537.03 | $812.83 |
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 $331.13 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $331.13 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $131.83 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $173.78 Typical High $173.78 | Professional | 55 · Aftercare only | $100.00 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $66.07 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $66.07 | $114.82 | $114.82 |
Where Mississippi sits
The same service costs 2.3 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
$871
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.