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 $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $446.68 Typical High $446.68 | Professional | None | $257.04 | $446.68 | $446.68 |
BCBS Mississippi Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
BCBS Mississippi Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $316.23 | Professional | None | $229.09 | $229.09 | $316.23 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $371.54 | Professional | None | $30.20 | $30.20 | $371.54 |
United Setting Facility Modifier None Typical Low $213.80 Median $257.04 Typical High $724.44 | Facility | None | $213.80 | $257.04 | $724.44 |
United Setting Professional Modifier None Typical Low $151.36 Median $213.80 Typical High $331.13 | Professional | None | $151.36 | $213.80 | $331.13 |
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 $128.82 Median $223.87 Typical High $223.87 | Professional | 52 · Reduced service | $128.82 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $51.29 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $67.61 Typical High $67.61 | Professional | 55 · Aftercare only | $38.90 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $44.67 Typical High $44.67 | Professional | 56 · Pre-op care only | $25.70 | $44.67 | $44.67 |
Where Mississippi sits
The same service costs 2.5 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· 20th of 51
$331
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.