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 $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
Aetna Setting Professional Modifier None Typical Low $831.76 Median $1,479.11 Typical High $1,479.11 | Professional | None | $831.76 | $1,479.11 | $1,479.11 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Facility | None | $1,148.15 | $1,148.15 | $1,148.15 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None | $1,148.15 | $1,148.15 | $1,148.15 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $1,096.48 | Professional | None | $812.83 | $812.83 | $1,096.48 |
United Setting Facility Modifier None Typical Low $660.69 Median $776.25 Typical High $2,238.72 | Facility | None | $660.69 | $776.25 | $2,238.72 |
United Setting Professional Modifier None Typical Low $489.78 Median $691.83 Typical High $1,047.13 | Professional | None | $489.78 | $691.83 | $1,047.13 |
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 $426.58 Median $741.31 Typical High $741.31 | Professional | 52 · Reduced service | $426.58 | $741.31 | $741.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $295.12 Typical High $295.12 | Professional | 53 · Discontinued | $169.82 | $295.12 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $218.78 Typical High $218.78 | Professional | 55 · Aftercare only | $125.89 | $218.78 | $218.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $85.11 Median $147.91 Typical High $147.91 | Professional | 56 · Pre-op care only | $85.11 | $147.91 | $147.91 |
Where Mississippi sits
The same service costs 2.2 times more in Hawaii than in Florida. 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· 19th of 51
$1,096
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.