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 $457.09 Median $851.14 Typical High $1,995.26 | Facility | None | $457.09 | $851.14 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $457.09 Typical High $457.09 | Professional | None | $446.68 | $457.09 | $457.09 |
BCBS Mississippi Setting Facility Modifier None Typical Low $10,471.29 Median $10,471.29 Typical High $15,135.61 | Facility | None | $10,471.29 | $10,471.29 | $15,135.61 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | None | $1,023.29 | $1,023.29 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $4,677.35 Typical High $7,413.10 | Facility | None | $660.69 | $4,677.35 | $7,413.10 |
Molina Setting Professional Modifier None Typical Low $19.95 Median $25.12 Typical High $50.12 | Professional | None | $19.95 | $25.12 | $50.12 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,412.54 Typical High $12,022.64 | Facility | None | $758.58 | $1,412.54 | $12,022.64 |
United Setting Professional Modifier None Typical Low $457.09 Median $524.81 Typical High $1,202.26 | Professional | None | $457.09 | $524.81 | $1,202.26 |
5 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 $223.87 Median $229.09 Typical High $229.09 | Professional | 52 · Reduced service | $223.87 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $91.20 Typical High $91.20 | Professional | 53 · Discontinued | $89.13 | $91.20 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | 54 · Surgery only | $338.84 | $338.84 | $338.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | 55 · Aftercare only | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $44.67 Median $45.71 Typical High $45.71 | Professional | 56 · Pre-op care only | $44.67 | $45.71 | $45.71 |
Where Mississippi sits
The same service costs 7.2 times more in Texas than in Pennsylvania. 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· 22nd of 51
$813
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.