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 $380.19 Median $776.25 Typical High $1,819.70 | Facility | None | $380.19 | $776.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $380.19 Typical High $380.19 | Professional | None | $331.13 | $380.19 | $380.19 |
BCBS Mississippi Setting Facility Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $4,786.30 | Facility | None | $3,981.07 | $3,981.07 | $4,786.30 |
BCBS Mississippi Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $2,290.87 Typical High $3,981.07 | Facility | None | $660.69 | $2,290.87 | $3,981.07 |
Molina Setting Professional Modifier None Typical Low $25.12 Median $44.67 Typical High $331.13 | Professional | None | $25.12 | $44.67 | $331.13 |
United Setting Facility Modifier None Typical Low $977.24 Median $1,778.28 Typical High $6,606.93 | Facility | None | $977.24 | $1,778.28 | $6,606.93 |
United Setting Professional Modifier None Typical Low $331.13 Median $389.05 Typical High $870.96 | Professional | None | $331.13 | $389.05 | $870.96 |
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 $165.96 Median $190.55 Typical High $190.55 | Professional | 52 · Reduced service | $165.96 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $75.86 Typical High $75.86 | Professional | 53 · Discontinued | $66.07 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $281.84 Typical High $281.84 | Professional | 54 · Surgery only | $251.19 | $281.84 | $281.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $56.23 Typical High $56.23 | Professional | 55 · Aftercare only | $50.12 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $38.02 Typical High $38.02 | Professional | 56 · Pre-op care only | $33.11 | $38.02 | $38.02 |
Where Mississippi sits
The same service costs 28.2 times more in Texas than in Kentucky. 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· 24th of 51
$501
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.