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 $18,197.01 Median $18,197.01 Typical High $18,197.01 | Facility | None | $18,197.01 | $18,197.01 | $18,197.01 |
Aetna Setting Professional Modifier None Typical Low $10,000.00 Median $18,197.01 Typical High $18,197.01 | Professional | None | $10,000.00 | $18,197.01 | $18,197.01 |
BCBS Mississippi Setting Facility Modifier None Typical Low $14,125.38 Median $14,125.38 Typical High $14,125.38 | Facility | None | $14,125.38 | $14,125.38 | $14,125.38 |
BCBS Mississippi Setting Professional Modifier None Typical Low $14,125.38 Median $14,125.38 Typical High $14,125.38 | Professional | None | $14,125.38 | $14,125.38 | $14,125.38 |
Cigna Setting Facility Modifier None Typical Low $12,589.25 Median $12,589.25 Typical High $12,589.25 | Facility | None | $12,589.25 | $12,589.25 | $12,589.25 |
Cigna Setting Professional Modifier None Typical Low $9,120.11 Median $9,120.11 Typical High $12,589.25 | Professional | None | $9,120.11 | $9,120.11 | $12,589.25 |
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 $7,943.28 Median $9,332.54 Typical High $28,840.32 | Facility | None | $7,943.28 | $9,332.54 | $28,840.32 |
United Setting Professional Modifier None Typical Low $6,025.60 Median $8,511.38 Typical High $13,182.57 | Professional | None | $6,025.60 | $8,511.38 | $13,182.57 |
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 $5,011.87 Median $9,120.11 Typical High $9,120.11 | Professional | 52 · Reduced service | $5,011.87 | $9,120.11 | $9,120.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,995.26 Median $3,630.78 Typical High $3,630.78 | Professional | 53 · Discontinued | $1,995.26 | $3,630.78 | $3,630.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,479.11 Median $2,691.53 Typical High $2,691.53 | Professional | 55 · Aftercare only | $1,479.11 | $2,691.53 | $2,691.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1,000.00 Median $1,819.70 Typical High $1,819.70 | Professional | 56 · Pre-op care only | $1,000.00 | $1,819.70 | $1,819.70 |
Where Mississippi sits
The same service costs 2.5 times more in Montana than in Florida. 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
$13,183
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.