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 $10,715.19 Median $10,715.19 Typical High $10,715.19 | Facility | None | $10,715.19 | $10,715.19 | $10,715.19 |
Aetna Setting Professional Modifier None Typical Low $5,495.41 Median $10,715.19 Typical High $10,715.19 | Professional | None | $5,495.41 | $10,715.19 | $10,715.19 |
BCBS Mississippi Setting Facility Modifier None Typical Low $8,317.64 Median $8,317.64 Typical High $8,317.64 | Facility | None | $8,317.64 | $8,317.64 | $8,317.64 |
BCBS Mississippi Setting Professional Modifier None Typical Low $8,317.64 Median $8,317.64 Typical High $8,317.64 | Professional | None | $8,317.64 | $8,317.64 | $8,317.64 |
Cigna Setting Facility Modifier None Typical Low $7,244.36 Median $7,244.36 Typical High $7,244.36 | Facility | None | $7,244.36 | $7,244.36 | $7,244.36 |
Cigna Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $7,244.36 | Professional | None | $5,248.07 | $5,248.07 | $7,244.36 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $5,011.87 Typical High $5,011.87 | Professional | None | $30.20 | $5,011.87 | $5,011.87 |
United Setting Facility Modifier None Typical Low $4,365.16 Median $5,128.61 Typical High $15,135.61 | Facility | None | $4,365.16 | $5,128.61 | $15,135.61 |
United Setting Professional Modifier None Typical Low $3,548.13 Median $5,011.87 Typical High $7,079.46 | Professional | None | $3,548.13 | $5,011.87 | $7,079.46 |
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 $2,754.23 Median $5,370.32 Typical High $5,370.32 | Professional | 52 · Reduced service | $2,754.23 | $5,370.32 | $5,370.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,096.48 Median $2,137.96 Typical High $2,137.96 | Professional | 53 · Discontinued | $1,096.48 | $2,137.96 | $2,137.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $812.83 Median $1,621.81 Typical High $1,621.81 | Professional | 55 · Aftercare only | $812.83 | $1,621.81 | $1,621.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $549.54 Median $1,071.52 Typical High $1,071.52 | Professional | 56 · Pre-op care only | $549.54 | $1,071.52 | $1,071.52 |
Where Mississippi sits
The same service costs 2.1 times more in Hawaii than in New Jersey. 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
$7,244
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.