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 $107.15 Median $758.58 Typical High $1,819.70 | Facility | None | $107.15 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $107.15 Typical High $275.42 | Professional | None | $48.98 | $107.15 | $275.42 |
Ambetter Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
BCBS Mississippi Setting Facility Modifier None Typical Low $851.14 Median $1,174.90 Typical High $1,174.90 | Facility | None | $851.14 | $1,174.90 | $1,174.90 |
BCBS Mississippi Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $131.83 Typical High $758.58 | Facility | None | $107.15 | $131.83 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $102.33 Typical High $204.17 | Professional | None | $48.98 | $102.33 | $204.17 |
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 $302.00 Median $660.69 Typical High $1,819.70 | Facility | None | $302.00 | $660.69 | $1,819.70 |
United Setting Professional Modifier None Typical Low $56.23 Median $134.90 Typical High $229.09 | Professional | None | $56.23 | $134.90 | $229.09 |
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 $23.99 Median $53.70 Typical High $138.04 | Professional | 52 · Reduced service | $23.99 | $53.70 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $21.38 Typical High $54.95 | Professional | 53 · Discontinued | $9.77 | $21.38 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $36.31 Median $81.28 Typical High $208.93 | Professional | 54 · Surgery only | $36.31 | $81.28 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $16.22 Typical High $41.69 | Professional | 55 · Aftercare only | $7.24 | $16.22 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.79 Median $10.72 Typical High $27.54 | Professional | 56 · Pre-op care only | $4.79 | $10.72 | $27.54 |
Where Mississippi sits
The same service costs 2.6 times more in Alaska than in Montana. 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· 17th of 51
$162
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.