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 $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $1,819.70 Typical High $1,819.70 | Professional | None | $1,122.02 | $1,819.70 | $1,819.70 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Facility | None | $1,412.54 | $1,412.54 | $1,412.54 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,412.54 | $1,412.54 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Facility | None | $1,479.11 | $1,479.11 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,479.11 | Professional | None | $1,071.52 | $1,071.52 | $1,479.11 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $1,479.11 | Professional | None | $30.20 | $30.20 | $1,479.11 |
United Setting Facility Modifier None Typical Low $954.99 Median $1,148.15 Typical High $2,818.38 | Facility | None | $954.99 | $1,148.15 | $2,818.38 |
United Setting Professional Modifier None Typical Low $602.56 Median $851.14 Typical High $1,288.25 | Professional | None | $602.56 | $851.14 | $1,288.25 |
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 $562.34 Median $912.01 Typical High $912.01 | Professional | 52 · Reduced service | $562.34 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $363.08 Typical High $363.08 | Professional | 53 · Discontinued | $223.87 | $363.08 | $363.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $275.42 Typical High $275.42 | Professional | 55 · Aftercare only | $165.96 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $181.97 Typical High $181.97 | Professional | 56 · Pre-op care only | $112.20 | $181.97 | $181.97 |
Where Mississippi sits
The same service costs 2.5 times more in Hawaii than in Rhode Island. 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
$1,413
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.