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 $38.90 Median $776.25 Typical High $1,995.26 | Facility | None | $38.90 | $776.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $87.10 Typical High $204.17 | Professional | None | $38.90 | $87.10 | $204.17 |
BCBS Mississippi Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
BCBS Mississippi Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None | $117.49 | $117.49 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $85.11 Typical High $194.98 | Facility | None | $50.12 | $85.11 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $75.86 Typical High $144.54 | Professional | None | $39.81 | $75.86 | $144.54 |
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 $44.67 Median $91.20 Typical High $141.25 | Professional | None | $44.67 | $91.20 | $141.25 |
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 $19.50 Median $42.66 Typical High $102.33 | Professional | 52 · Reduced service | $19.50 | $42.66 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $17.38 Typical High $40.74 | Professional | 53 · Discontinued | $7.76 | $17.38 | $40.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $28.84 Median $64.57 Typical High $154.88 | Professional | 54 · Surgery only | $28.84 | $64.57 | $154.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $12.88 Typical High $30.90 | Professional | 55 · Aftercare only | $5.75 | $12.88 | $30.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.89 Median $8.71 Typical High $20.42 | Professional | 56 · Pre-op care only | $3.89 | $8.71 | $20.42 |
Where Mississippi sits
The same service costs 3.5 times more in Alaska 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· 22nd of 51
$100
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.