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 $44.67 Median $776.25 Typical High $1,995.26 | Facility | None | $44.67 | $776.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $100.00 Typical High $151.36 | Professional | None | $44.67 | $100.00 | $151.36 |
BCBS Mississippi Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
BCBS Mississippi Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $58.88 Typical High $151.36 | Facility | None | $50.12 | $58.88 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $44.67 Median $72.44 Typical High $107.15 | Professional | None | $44.67 | $72.44 | $107.15 |
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 $72.44 Typical High $131.83 | Professional | None | $48.98 | $72.44 | $131.83 |
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 $22.39 Median $48.98 Typical High $75.86 | Professional | 52 · Reduced service | $22.39 | $48.98 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $19.95 Typical High $30.20 | Professional | 53 · Discontinued | $8.91 | $19.95 | $30.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $33.11 Median $74.13 Typical High $114.82 | Professional | 54 · Surgery only | $33.11 | $74.13 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $14.79 Typical High $22.91 | Professional | 55 · Aftercare only | $6.61 | $14.79 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.47 Median $10.00 Typical High $15.14 | Professional | 56 · Pre-op care only | $4.47 | $10.00 | $15.14 |
Where Mississippi sits
The same service costs 3.4 times more in Alaska than in New York. 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
$89.13
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.