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 $8,912.51 Median $8,912.51 Typical High $8,912.51 | Facility | None | $8,912.51 | $8,912.51 | $8,912.51 |
Aetna Setting Professional Modifier None Typical Low $3,890.45 Median $8,912.51 Typical High $8,912.51 | Professional | None | $3,890.45 | $8,912.51 | $8,912.51 |
BCBS Mississippi Setting Facility Modifier None Typical Low $6,918.31 Median $6,918.31 Typical High $6,918.31 | Facility | None | $6,918.31 | $6,918.31 | $6,918.31 |
BCBS Mississippi Setting Professional Modifier None Typical Low $6,918.31 Median $6,918.31 Typical High $6,918.31 | Professional | None | $6,918.31 | $6,918.31 | $6,918.31 |
Cigna Setting Facility Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $4,677.35 | Facility | None | $4,677.35 | $4,677.35 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $4,677.35 | Professional | None | $3,467.37 | $3,467.37 | $4,677.35 |
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 $2,884.03 Median $3,548.13 Typical High $11,481.54 | Facility | None | $2,884.03 | $3,548.13 | $11,481.54 |
United Setting Professional Modifier None Typical Low $2,951.21 Median $4,168.69 Typical High $5,370.32 | Professional | None | $2,951.21 | $4,168.69 | $5,370.32 |
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 $1,949.84 Median $4,466.84 Typical High $4,466.84 | Professional | 52 · Reduced service | $1,949.84 | $4,466.84 | $4,466.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $776.25 Median $1,778.28 Typical High $1,778.28 | Professional | 53 · Discontinued | $776.25 | $1,778.28 | $1,778.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $575.44 Median $1,348.96 Typical High $1,348.96 | Professional | 55 · Aftercare only | $575.44 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $389.05 Median $891.25 Typical High $891.25 | Professional | 56 · Pre-op care only | $389.05 | $891.25 | $891.25 |
Where Mississippi sits
The same service costs 2.3 times more in Arkansas than in Vermont. 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
$5,248
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.