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 $4,168.69 Median $4,168.69 Typical High $4,168.69 | Facility | None | $4,168.69 | $4,168.69 | $4,168.69 |
Aetna Setting Professional Modifier None Typical Low $2,344.23 Median $4,168.69 Typical High $4,168.69 | Professional | None | $2,344.23 | $4,168.69 | $4,168.69 |
BCBS Mississippi Setting Facility Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Facility | None | $3,235.94 | $3,235.94 | $3,235.94 |
BCBS Mississippi Setting Professional Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | None | $3,235.94 | $3,235.94 | $3,235.94 |
Cigna Setting Facility Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Facility | None | $3,388.44 | $3,388.44 | $3,388.44 |
Cigna Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $3,388.44 | Professional | None | $2,454.71 | $2,454.71 | $3,388.44 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $3,467.37 | Professional | None | $30.20 | $30.20 | $3,467.37 |
United Setting Facility Modifier None Typical Low $2,398.83 Median $5,495.41 Typical High $6,606.93 | Facility | None | $2,398.83 | $5,495.41 | $6,606.93 |
United Setting Professional Modifier None Typical Low $1,412.54 Median $1,995.26 Typical High $3,090.30 | Professional | None | $1,412.54 | $1,995.26 | $3,090.30 |
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 $1,230.27 Median $2,089.30 Typical High $2,089.30 | Professional | 52 · Reduced service | $1,230.27 | $2,089.30 | $2,089.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $851.14 Typical High $851.14 | Professional | 53 · Discontinued | $489.78 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $363.08 Median $630.96 Typical High $630.96 | Professional | 55 · Aftercare only | $363.08 | $630.96 | $630.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $245.47 Median $416.87 Typical High $416.87 | Professional | 56 · Pre-op care only | $245.47 | $416.87 | $416.87 |
Where Mississippi sits
The same service costs 2.1 times more in Montana than in South Carolina. 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
$3,236
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.