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 $2,398.83 Median $2,398.83 Typical High $2,398.83 | Facility | None | $2,398.83 | $2,398.83 | $2,398.83 |
Aetna Setting Professional Modifier None Typical Low $1,288.25 Median $2,398.83 Typical High $2,398.83 | Professional | None | $1,288.25 | $2,398.83 | $2,398.83 |
BCBS Mississippi Setting Facility Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Facility | None | $2,290.87 | $2,290.87 | $2,290.87 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None | $1,949.84 | $1,949.84 | $1,949.84 |
Cigna Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,348.96 | Professional | None | $977.24 | $977.24 | $1,348.96 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $1,995.26 | Professional | None | $30.20 | $30.20 | $1,995.26 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $2,951.21 Typical High $3,548.13 | Facility | None | $2,511.89 | $2,951.21 | $3,548.13 |
United Setting Professional Modifier None Typical Low $812.83 Median $1,148.15 Typical High $1,659.59 | Professional | None | $812.83 | $1,148.15 | $1,659.59 |
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 $660.69 Median $1,202.26 Typical High $1,202.26 | Professional | 52 · Reduced service | $660.69 | $1,202.26 | $1,202.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $263.03 Median $489.78 Typical High $489.78 | Professional | 53 · Discontinued | $263.03 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $363.08 Typical High $363.08 | Professional | 55 · Aftercare only | $199.53 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $131.83 Median $239.88 Typical High $239.88 | Professional | 56 · Pre-op care only | $131.83 | $239.88 | $239.88 |
Where Mississippi sits
The same service costs 2.6 times more in Montana 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· 21st of 51
$1,660
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.