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 $891.25 Median $891.25 Typical High $891.25 | Facility | None | $891.25 | $891.25 | $891.25 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $891.25 Typical High $891.25 | Professional | None | $478.63 | $891.25 | $891.25 |
BCBS Mississippi Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
BCBS Mississippi Setting Professional Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Professional | None | $691.83 | $691.83 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $691.83 | Professional | None | $512.86 | $512.86 | $691.83 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $741.31 | Professional | None | $30.20 | $30.20 | $741.31 |
United Setting Facility Modifier None Typical Low $398.11 Median $501.19 Typical High $1,348.96 | Facility | None | $398.11 | $501.19 | $1,348.96 |
United Setting Professional Modifier None Typical Low $302.00 Median $426.58 Typical High $616.60 | Professional | None | $302.00 | $426.58 | $616.60 |
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 $239.88 Median $446.68 Typical High $446.68 | Professional | 52 · Reduced service | $239.88 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $177.83 Typical High $177.83 | Professional | 53 · Discontinued | $95.50 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $134.90 Typical High $134.90 | Professional | 55 · Aftercare only | $72.44 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $47.86 Median $89.13 Typical High $89.13 | Professional | 56 · Pre-op care only | $47.86 | $89.13 | $89.13 |
Where Mississippi sits
The same service costs 2.4 times more in Hawaii than in Washington, DC. 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· 17th of 51
$692
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.