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 $81.28 Median $776.25 Typical High $1,995.26 | Facility | None | $81.28 | $776.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $181.97 Typical High $331.13 | Professional | None | $81.28 | $181.97 | $331.13 |
BCBS Mississippi Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
BCBS Mississippi Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None | $223.87 | $223.87 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $120.23 Typical High $257.04 | Facility | None | $50.12 | $120.23 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $144.54 Typical High $239.88 | Professional | None | $83.18 | $144.54 | $239.88 |
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 $363.08 Typical High $1,148.15 | Facility | None | $91.20 | $363.08 | $1,148.15 |
United Setting Professional Modifier None Typical Low $93.33 Median $165.96 Typical High $257.04 | Professional | None | $93.33 | $165.96 | $257.04 |
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 $40.74 Median $91.20 Typical High $165.96 | Professional | 52 · Reduced service | $40.74 | $91.20 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $36.31 Typical High $66.07 | Professional | 53 · Discontinued | $16.60 | $36.31 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $61.66 Median $138.04 Typical High $245.47 | Professional | 54 · Surgery only | $61.66 | $138.04 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $27.54 Typical High $48.98 | Professional | 55 · Aftercare only | $12.30 | $27.54 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $18.20 Typical High $33.11 | Professional | 56 · Pre-op care only | $8.13 | $18.20 | $33.11 |
Where Mississippi sits
The same service costs 3.3 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· 23rd of 51
$170
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.