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 $48.98 Median $758.58 Typical High $1,819.70 | Facility | None | $48.98 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $52.48 Typical High $107.15 | Professional | None | $23.44 | $52.48 | $107.15 |
BCBS Mississippi Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
BCBS Mississippi Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $43.65 Typical High $151.36 | Facility | None | $35.48 | $43.65 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $46.77 Typical High $79.43 | Professional | None | $24.55 | $46.77 | $79.43 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $91.20 Median $363.08 Typical High $1,148.15 | Facility | None | $91.20 | $363.08 | $1,148.15 |
United Setting Professional Modifier None Typical Low $27.54 Median $50.12 Typical High $77.62 | Professional | None | $27.54 | $50.12 | $77.62 |
6 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 $11.75 Median $26.30 Typical High $53.70 | Professional | 52 · Reduced service | $11.75 | $26.30 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $10.47 Typical High $21.88 | Professional | 53 · Discontinued | $4.68 | $10.47 | $21.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $17.78 Median $38.90 Typical High $81.28 | Professional | 54 · Surgery only | $17.78 | $38.90 | $81.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.55 Median $7.76 Typical High $16.22 | Professional | 55 · Aftercare only | $3.55 | $7.76 | $16.22 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.34 Median $5.25 Typical High $10.72 | Professional | 56 · Pre-op care only | $2.34 | $5.25 | $10.72 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | 59 · Distinct service | $48.98 | $48.98 | $48.98 |
Where Mississippi sits
The same service costs 3.3 times more in Alaska than in New Jersey. 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· 25th of 51
$54.95
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.