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 $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,047.13 | $1,819.70 | $1,819.70 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,412.54 | $1,412.54 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,412.54 | Professional | None | $1,023.29 | $1,023.29 | $1,412.54 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,318.26 Typical High $3,019.95 | Facility | None | $1,230.27 | $1,318.26 | $3,019.95 |
United Setting Professional Modifier None Typical Low $616.60 Median $870.96 Typical High $1,380.38 | Professional | None | $616.60 | $870.96 | $1,380.38 |
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 $524.81 Median $912.01 Typical High $912.01 | Professional | 52 · Reduced service | $524.81 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $371.54 Typical High $371.54 | Professional | 53 · Discontinued | $208.93 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $275.42 Typical High $275.42 | Professional | 55 · Aftercare only | $158.49 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $104.71 Median $181.97 Typical High $181.97 | Professional | 56 · Pre-op care only | $104.71 | $181.97 | $181.97 |
Where Mississippi sits
The same service costs 3.6 times more in Hawaii than in Washington, DC. 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· 21st of 51
$1,413
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.