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 $11,220.18 Median $11,220.18 Typical High $11,220.18 | Facility | None | $11,220.18 | $11,220.18 | $11,220.18 |
Aetna Setting Professional Modifier None Typical Low $7,079.46 Median $11,220.18 Typical High $11,220.18 | Professional | None | $7,079.46 | $11,220.18 | $11,220.18 |
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 $8,709.64 Median $8,709.64 Typical High $8,709.64 | Facility | None | $8,709.64 | $8,709.64 | $8,709.64 |
Cigna Setting Professional Modifier None Typical Low $6,309.57 Median $6,309.57 Typical High $8,709.64 | Professional | None | $6,309.57 | $6,309.57 | $8,709.64 |
United Setting Facility Modifier None Typical Low $4,466.84 Median $5,495.41 Typical High $18,197.01 | Facility | None | $4,466.84 | $5,495.41 | $18,197.01 |
United Setting Professional Modifier None Typical Low $3,715.35 Median $5,248.07 Typical High $8,317.64 | Professional | None | $3,715.35 | $5,248.07 | $8,317.64 |
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 $3,467.37 Median $5,495.41 Typical High $5,495.41 | Professional | 52 · Reduced service | $3,467.37 | $5,495.41 | $5,495.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1,412.54 Median $2,238.72 Typical High $2,238.72 | Professional | 53 · Discontinued | $1,412.54 | $2,238.72 | $2,238.72 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1,047.13 Median $1,659.59 Typical High $1,659.59 | Professional | 55 · Aftercare only | $1,047.13 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $707.95 Median $1,122.02 Typical High $1,122.02 | Professional | 56 · Pre-op care only | $707.95 | $1,122.02 | $1,122.02 |
Where Mississippi sits
The same service costs 2.3 times more in Montana than in West Virginia. 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
$8,511
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.