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 $64.57 Median $776.25 Typical High $1,995.26 | Facility | None | $64.57 | $776.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $141.25 Typical High $281.84 | Professional | None | $64.57 | $141.25 | $281.84 |
Ambetter Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None | $85.11 | $85.11 | $85.11 |
BCBS Mississippi Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
BCBS Mississippi Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $107.15 Typical High $245.47 | Facility | None | $50.12 | $107.15 | $245.47 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $114.82 Typical High $204.17 | Professional | None | $64.57 | $114.82 | $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 $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 $72.44 Median $131.83 Typical High $204.17 | Professional | None | $72.44 | $131.83 | $204.17 |
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 $31.62 Median $70.79 Typical High $141.25 | Professional | 52 · Reduced service | $31.62 | $70.79 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $28.18 Typical High $56.23 | Professional | 53 · Discontinued | $12.88 | $28.18 | $56.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $47.86 Median $107.15 Typical High $208.93 | Professional | 54 · Surgery only | $47.86 | $107.15 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.55 Median $21.38 Typical High $42.66 | Professional | 55 · Aftercare only | $9.55 | $21.38 | $42.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $14.13 Typical High $28.18 | Professional | 56 · Pre-op care only | $6.46 | $14.13 | $28.18 |
Where Mississippi sits
The same service costs 3.2 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
$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.