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 $41.69 Median $776.25 Typical High $1,995.26 | Facility | None | $41.69 | $776.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $93.33 Typical High $218.78 | Professional | None | $41.69 | $93.33 | $218.78 |
Ambetter Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $223.87 | Professional | None | $120.23 | $120.23 | $223.87 |
BCBS Mississippi Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
BCBS Mississippi Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
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 $42.66 Median $81.28 Typical High $154.88 | Professional | None | $42.66 | $81.28 | $154.88 |
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 $316.23 Typical High $1,096.48 | Facility | None | $91.20 | $316.23 | $1,096.48 |
United Setting Professional Modifier None Typical Low $48.98 Median $100.00 Typical High $151.36 | Professional | None | $48.98 | $100.00 | $151.36 |
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 $20.89 Median $46.77 Typical High $109.65 | Professional | 52 · Reduced service | $20.89 | $46.77 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $18.62 Typical High $43.65 | Professional | 53 · Discontinued | $8.51 | $18.62 | $43.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $31.62 Median $70.79 Typical High $165.96 | Professional | 54 · Surgery only | $31.62 | $70.79 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $14.13 Typical High $33.11 | Professional | 55 · Aftercare only | $6.31 | $14.13 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $9.33 Typical High $21.88 | Professional | 56 · Pre-op care only | $4.17 | $9.33 | $21.88 |
Where Mississippi sits
The same service costs 3.4 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· 18th of 51
$112
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.