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 $2,691.53 Median $2,691.53 Typical High $2,691.53 | Facility | None | $2,691.53 | $2,691.53 | $2,691.53 |
Aetna Setting Professional Modifier None Typical Low $1,258.93 Median $2,691.53 Typical High $2,691.53 | Professional | None | $1,258.93 | $2,691.53 | $2,691.53 |
BCBS Mississippi Setting Facility Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Facility | None | $2,089.30 | $2,089.30 | $2,089.30 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None | $2,089.30 | $2,089.30 | $2,089.30 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,737.80 | Professional | None | $1,288.25 | $1,288.25 | $1,737.80 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $2,691.53 Typical High $2,691.53 | Professional | None | $30.20 | $2,691.53 | $2,691.53 |
United Setting Facility Modifier None Typical Low $977.24 Median $1,148.15 Typical High $3,715.35 | Facility | None | $977.24 | $1,148.15 | $3,715.35 |
United Setting Professional Modifier None Typical Low $891.25 Median $1,258.93 Typical High $1,737.80 | Professional | None | $891.25 | $1,258.93 | $1,737.80 |
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 $630.96 Median $1,318.26 Typical High $1,318.26 | Professional | 52 · Reduced service | $630.96 | $1,318.26 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $251.19 Median $537.03 Typical High $537.03 | Professional | 53 · Discontinued | $251.19 | $537.03 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $190.55 Median $398.11 Typical High $398.11 | Professional | 55 · Aftercare only | $190.55 | $398.11 | $398.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $125.89 Median $269.15 Typical High $269.15 | Professional | 56 · Pre-op care only | $125.89 | $269.15 | $269.15 |
Where Mississippi sits
The same service costs 2.1 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· 21st of 51
$1,738
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.