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 $10,964.78 Median $10,964.78 Typical High $10,964.78 | Facility | None | $10,964.78 | $10,964.78 | $10,964.78 |
Aetna Setting Professional Modifier None Typical Low $5,623.41 Median $10,964.78 Typical High $10,964.78 | Professional | None | $5,623.41 | $10,964.78 | $10,964.78 |
BCBS Mississippi Setting Facility Modifier None Typical Low $8,511.38 Median $8,511.38 Typical High $8,511.38 | Facility | None | $8,511.38 | $8,511.38 | $8,511.38 |
BCBS Mississippi Setting Professional Modifier None Typical Low $8,511.38 Median $8,511.38 Typical High $8,511.38 | Professional | None | $8,511.38 | $8,511.38 | $8,511.38 |
Cigna Setting Facility Modifier None Typical Low $7,585.78 Median $7,585.78 Typical High $7,585.78 | Facility | None | $7,585.78 | $7,585.78 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $7,585.78 | Professional | None | $5,495.41 | $5,495.41 | $7,585.78 |
United Setting Facility Modifier None Typical Low $4,265.80 Median $4,786.30 Typical High $15,488.17 | Facility | None | $4,265.80 | $4,786.30 | $15,488.17 |
United Setting Professional Modifier None Typical Low $3,630.78 Median $5,128.61 Typical High $7,244.36 | Professional | None | $3,630.78 | $5,128.61 | $7,244.36 |
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 $5,495.41 Typical High $5,495.41 | Professional | 52 · Reduced service | $2,754.23 | $5,495.41 | $5,495.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,122.02 Median $2,187.76 Typical High $2,187.76 | Professional | 53 · Discontinued | $1,122.02 | $2,187.76 | $2,187.76 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $831.76 Median $1,659.59 Typical High $1,659.59 | Professional | 55 · Aftercare only | $831.76 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $562.34 Median $1,096.48 Typical High $1,096.48 | Professional | 56 · Pre-op care only | $562.34 | $1,096.48 | $1,096.48 |
Where Mississippi sits
The same service costs 2.1 times more in Montana 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· 19th of 51
$7,586
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.