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 $17,378.01 Median $17,378.01 Typical High $17,378.01 | Facility | None | $17,378.01 | $17,378.01 | $17,378.01 |
Aetna Setting Professional Modifier None Typical Low $9,549.93 Median $17,378.01 Typical High $17,378.01 | Professional | None | $9,549.93 | $17,378.01 | $17,378.01 |
Ambetter Setting Professional Modifier None Typical Low $17,378.01 Median $17,378.01 Typical High $17,378.01 | Professional | None | $17,378.01 | $17,378.01 | $17,378.01 |
BCBS Mississippi Setting Facility Modifier None Typical Low $13,489.63 Median $13,489.63 Typical High $13,489.63 | Facility | None | $13,489.63 | $13,489.63 | $13,489.63 |
BCBS Mississippi Setting Professional Modifier None Typical Low $13,489.63 Median $13,489.63 Typical High $13,489.63 | Professional | None | $13,489.63 | $13,489.63 | $13,489.63 |
Cigna Setting Facility Modifier None Typical Low $11,748.98 Median $11,748.98 Typical High $11,748.98 | Facility | None | $11,748.98 | $11,748.98 | $11,748.98 |
Cigna Setting Professional Modifier None Typical Low $8,511.38 Median $8,511.38 Typical High $11,748.98 | Professional | None | $8,511.38 | $8,511.38 | $11,748.98 |
United Setting Facility Modifier None Typical Low $7,585.78 Median $8,912.51 Typical High $27,542.29 | Facility | None | $7,585.78 | $8,912.51 | $27,542.29 |
United Setting Professional Modifier None Typical Low $5,754.40 Median $8,128.31 Typical High $12,882.50 | Professional | None | $5,754.40 | $8,128.31 | $12,882.50 |
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 $4,786.30 Median $8,709.64 Typical High $8,709.64 | Professional | 52 · Reduced service | $4,786.30 | $8,709.64 | $8,709.64 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,905.46 Median $3,467.37 Typical High $3,467.37 | Professional | 53 · Discontinued | $1,905.46 | $3,467.37 | $3,467.37 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,412.54 Median $2,570.40 Typical High $2,570.40 | Professional | 55 · Aftercare only | $1,412.54 | $2,570.40 | $2,570.40 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $954.99 Median $1,737.80 Typical High $1,737.80 | Professional | 56 · Pre-op care only | $954.99 | $1,737.80 | $1,737.80 |
Where Mississippi sits
The same service costs 2.6 times more in Montana 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· 21st of 51
$12,882
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.