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 $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Aetna Setting Professional Modifier None Typical Low $371.54 Median $691.83 Typical High $691.83 | Professional | None | $371.54 | $691.83 | $691.83 |
BCBS Mississippi Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
BCBS Mississippi Setting Professional Modifier None Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | None | $537.03 | $537.03 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $524.81 | Professional | None | $389.05 | $389.05 | $524.81 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $562.34 | Professional | None | $30.20 | $30.20 | $562.34 |
United Setting Facility Modifier None Typical Low $302.00 Median $380.19 Typical High $1,047.13 | Facility | None | $302.00 | $380.19 | $1,047.13 |
United Setting Professional Modifier None Typical Low $229.09 Median $323.59 Typical High $478.63 | Professional | None | $229.09 | $323.59 | $478.63 |
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 $181.97 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $181.97 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $138.04 Typical High $138.04 | Professional | 53 · Discontinued | $74.13 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $102.33 Typical High $102.33 | Professional | 55 · Aftercare only | $54.95 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $37.15 Median $69.18 Typical High $69.18 | Professional | 56 · Pre-op care only | $37.15 | $69.18 | $69.18 |
Where Mississippi sits
The same service costs 2.3 times more in Hawaii 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· 18th of 51
$525
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.