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 $7.24 Median $776.25 Typical High $1,995.26 | Facility | None | $7.24 | $776.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $15.85 Typical High $29.51 | Professional | None | $7.24 | $15.85 | $29.51 |
Ambetter Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | None | $6.31 | $6.31 | $6.31 |
BCBS Mississippi Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
BCBS Mississippi Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
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 $6.61 Median $12.02 Typical High $20.89 | Professional | None | $6.61 | $12.02 | $20.89 |
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 $89.13 Median $223.87 Typical High $1,096.48 | Facility | None | $89.13 | $223.87 | $1,096.48 |
United Setting Professional Modifier None Typical Low $7.59 Median $12.88 Typical High $25.70 | Professional | None | $7.59 | $12.88 | $25.70 |
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 $3.63 Median $7.94 Typical High $14.79 | Professional | 52 · Reduced service | $3.63 | $7.94 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $3.16 Typical High $5.89 | Professional | 53 · Discontinued | $1.45 | $3.16 | $5.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $5.37 Median $12.02 Typical High $21.88 | Professional | 54 · Surgery only | $5.37 | $12.02 | $21.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.07 Median $2.40 Typical High $4.37 | Professional | 55 · Aftercare only | $1.07 | $2.40 | $4.37 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.72 Median $1.58 Typical High $2.95 | Professional | 56 · Pre-op care only | $0.72 | $1.58 | $2.95 |
Where Mississippi sits
The same service costs 3.5 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· 10th of 51
$19.05
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.