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 $61.66 Median $776.25 Typical High $1,995.26 | Facility | None | $61.66 | $776.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $134.90 Typical High $275.42 | Professional | None | $61.66 | $134.90 | $275.42 |
Ambetter Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
BCBS Mississippi Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
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 $50.12 Median $89.13 Typical High $338.84 | Facility | None | $50.12 | $89.13 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $112.20 Typical High $199.53 | Professional | None | $61.66 | $112.20 | $199.53 |
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 $69.18 Median $138.04 Typical High $194.98 | Professional | None | $69.18 | $138.04 | $194.98 |
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 $30.90 Median $67.61 Typical High $138.04 | Professional | 52 · Reduced service | $30.90 | $67.61 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $27.54 Typical High $54.95 | Professional | 53 · Discontinued | $12.30 | $27.54 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $45.71 Median $102.33 Typical High $204.17 | Professional | 54 · Surgery only | $45.71 | $102.33 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $20.42 Typical High $40.74 | Professional | 55 · Aftercare only | $9.12 | $20.42 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.17 Median $13.49 Typical High $27.54 | Professional | 56 · Pre-op care only | $6.17 | $13.49 | $27.54 |
Where Mississippi sits
The same service costs 3.5 times more in Alaska than in Maryland. 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· 20th of 51
$141
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.