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 $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $724.44 Typical High $724.44 | Professional | None | $354.81 | $724.44 | $724.44 |
BCBS Mississippi Setting Facility Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | None | $562.34 | $562.34 | $562.34 |
BCBS Mississippi Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None | $562.34 | $562.34 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $416.87 | Professional | None | $302.00 | $302.00 | $416.87 |
United Setting Facility Modifier None Typical Low $426.58 Median $467.74 Typical High $1,047.13 | Facility | None | $426.58 | $467.74 | $1,047.13 |
United Setting Professional Modifier None Typical Low $239.88 Median $338.84 Typical High $489.78 | Professional | None | $239.88 | $338.84 | $489.78 |
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 $173.78 Median $363.08 Typical High $363.08 | Professional | 52 · Reduced service | $173.78 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $144.54 Typical High $144.54 | Professional | 53 · Discontinued | $70.79 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $109.65 Typical High $109.65 | Professional | 55 · Aftercare only | $52.48 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $72.44 Typical High $72.44 | Professional | 56 · Pre-op care only | $35.48 | $72.44 | $72.44 |
Where Mississippi sits
The same service costs 3.9 times more in Hawaii 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· 19th of 51
$479
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.