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 $933.25 Median $1,819.70 Typical High $1,819.70 | Professional | None | $933.25 | $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 $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $1,318.26 | Professional | None | $977.24 | $977.24 | $1,318.26 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $1,479.11 | Professional | None | $30.20 | $30.20 | $1,479.11 |
United Setting Facility Modifier None Typical Low $645.65 Median $831.76 Typical High $2,691.53 | Facility | None | $645.65 | $831.76 | $2,691.53 |
United Setting Professional Modifier None Typical Low $602.56 Median $851.14 Typical High $1,230.27 | Professional | None | $602.56 | $851.14 | $1,230.27 |
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 $467.74 Median $912.01 Typical High $912.01 | Professional | 52 · Reduced service | $467.74 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $363.08 Typical High $363.08 | Professional | 53 · Discontinued | $190.55 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $141.25 Median $275.42 Typical High $275.42 | Professional | 55 · Aftercare only | $141.25 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $95.50 Median $181.97 Typical High $181.97 | Professional | 56 · Pre-op care only | $95.50 | $181.97 | $181.97 |
Where Mississippi sits
The same service costs 2.5 times more in Montana than in Pennsylvania. 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
$1,318
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.