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 $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $1,737.80 Typical High $1,737.80 | Professional | None | $707.95 | $1,737.80 | $1,737.80 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None | $1,318.26 | $1,318.26 | $1,318.26 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $912.01 | Professional | None | $660.69 | $660.69 | $912.01 |
United Setting Facility Modifier None Typical Low $575.44 Median $676.08 Typical High $2,089.30 | Facility | None | $575.44 | $676.08 | $2,089.30 |
United Setting Professional Modifier None Typical Low $537.03 Median $812.83 Typical High $1,000.00 | Professional | None | $537.03 | $812.83 | $1,000.00 |
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 $354.81 Median $851.14 Typical High $851.14 | Professional | 52 · Reduced service | $354.81 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $346.74 Typical High $346.74 | Professional | 53 · Discontinued | $141.25 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $257.04 Typical High $257.04 | Professional | 55 · Aftercare only | $107.15 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $70.79 Median $173.78 Typical High $173.78 | Professional | 56 · Pre-op care only | $70.79 | $173.78 | $173.78 |
Where Mississippi sits
The same service costs 2.3 times more in Hawaii 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· 20th of 51
$1,000
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.