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 $120.23 Median $758.58 Typical High $1,819.70 | Facility | None | $120.23 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $177.83 Typical High $269.15 | Professional | None | $79.43 | $177.83 | $269.15 |
Ambetter Setting Professional Modifier None Typical Low $83.18 Median $151.36 Typical High $151.36 | Professional | None | $83.18 | $151.36 | $151.36 |
BCBS Mississippi Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $1,047.13 | Facility | None | $363.08 | $363.08 | $1,047.13 |
BCBS Mississippi Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $91.20 Typical High $524.81 | Facility | None | $74.13 | $91.20 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $131.83 Typical High $204.17 | Professional | None | $79.43 | $131.83 | $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 $302.00 Median $616.60 Typical High $1,737.80 | Facility | None | $302.00 | $616.60 | $1,737.80 |
United Setting Professional Modifier None Typical Low $91.20 Median $134.90 Typical High $239.88 | Professional | None | $91.20 | $134.90 | $239.88 |
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 $39.81 Median $89.13 Typical High $134.90 | Professional | 52 · Reduced service | $39.81 | $89.13 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $35.48 Typical High $53.70 | Professional | 53 · Discontinued | $15.85 | $35.48 | $53.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $60.26 Median $131.83 Typical High $199.53 | Professional | 54 · Surgery only | $60.26 | $131.83 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $26.30 Typical High $39.81 | Professional | 55 · Aftercare only | $12.02 | $26.30 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.94 Median $17.78 Typical High $26.92 | Professional | 56 · Pre-op care only | $7.94 | $17.78 | $26.92 |
Where Mississippi sits
The same service costs 3.2 times more in Alaska than in Florida. 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· 13th of 51
$178
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.