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 $12,882.50 Median $12,882.50 Typical High $12,882.50 | Facility | None | $12,882.50 | $12,882.50 | $12,882.50 |
Aetna Setting Professional Modifier None Typical Low $6,760.83 Median $12,882.50 Typical High $12,882.50 | Professional | None | $6,760.83 | $12,882.50 | $12,882.50 |
BCBS Mississippi Setting Facility Modifier None Typical Low $10,000.00 Median $10,000.00 Typical High $10,000.00 | Facility | None | $10,000.00 | $10,000.00 | $10,000.00 |
BCBS Mississippi Setting Professional Modifier None Typical Low $10,000.00 Median $10,000.00 Typical High $10,000.00 | Professional | None | $10,000.00 | $10,000.00 | $10,000.00 |
Cigna Setting Facility Modifier None Typical Low $9,120.11 Median $9,120.11 Typical High $9,120.11 | Facility | None | $9,120.11 | $9,120.11 | $9,120.11 |
Cigna Setting Professional Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $9,120.11 | Professional | None | $6,606.93 | $6,606.93 | $9,120.11 |
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 $5,128.61 Median $6,165.95 Typical High $19,952.62 | Facility | None | $5,128.61 | $6,165.95 | $19,952.62 |
United Setting Professional Modifier None Typical Low $4,265.80 Median $6,025.60 Typical High $9,120.11 | Professional | None | $4,265.80 | $6,025.60 | $9,120.11 |
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 $3,388.44 Median $6,456.54 Typical High $6,456.54 | Professional | 52 · Reduced service | $3,388.44 | $6,456.54 | $6,456.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,348.96 Median $2,570.40 Typical High $2,570.40 | Professional | 53 · Discontinued | $1,348.96 | $2,570.40 | $2,570.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,000.00 Median $1,949.84 Typical High $1,949.84 | Professional | 55 · Aftercare only | $1,000.00 | $1,949.84 | $1,949.84 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $676.08 Median $1,288.25 Typical High $1,288.25 | Professional | 56 · Pre-op care only | $676.08 | $1,288.25 | $1,288.25 |
Where Mississippi sits
The same service costs 2.5 times more in Montana than in Delaware. 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
$9,120
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.