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 $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Aetna Setting Professional Modifier None Typical Low $416.87 Median $691.83 Typical High $691.83 | Professional | None | $416.87 | $691.83 | $691.83 |
BCBS Mississippi Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
BCBS Mississippi Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $501.19 | Professional | None | $363.08 | $363.08 | $501.19 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $562.34 | Professional | None | $30.20 | $30.20 | $562.34 |
United Setting Facility Modifier None Typical Low $426.58 Median $467.74 Typical High $1,122.02 | Facility | None | $426.58 | $467.74 | $1,122.02 |
United Setting Professional Modifier None Typical Low $229.09 Median $323.59 Typical High $524.81 | Professional | None | $229.09 | $323.59 | $524.81 |
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 $208.93 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $208.93 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $138.04 Typical High $138.04 | Professional | 53 · Discontinued | $83.18 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $104.71 Typical High $104.71 | Professional | 55 · Aftercare only | $63.10 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $41.69 Median $69.18 Typical High $69.18 | Professional | 56 · Pre-op care only | $41.69 | $69.18 | $69.18 |
Where Mississippi sits
The same service costs 3.0 times more in Hawaii than in West Virginia. 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
$525
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.