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 $741.31 Typical High $1,819.70 | Facility | None | $81.28 | $741.31 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $181.97 Typical High $295.12 | Professional | None | $81.28 | $181.97 | $295.12 |
Ambetter Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
BCBS Mississippi Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $109.65 Typical High $758.58 | Facility | None | $89.13 | $109.65 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $138.04 Typical High $213.80 | Professional | None | $81.28 | $138.04 | $213.80 |
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 $467.74 Median $812.83 Typical High $2,570.40 | Facility | None | $467.74 | $812.83 | $2,570.40 |
United Setting Professional Modifier None Typical Low $91.20 Median $144.54 Typical High $257.04 | Professional | None | $91.20 | $144.54 | $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 $89.13 Typical High $147.91 | Professional | 52 · Reduced service | $40.74 | $89.13 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $36.31 Typical High $58.88 | Professional | 53 · Discontinued | $16.22 | $36.31 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $60.26 Median $134.90 Typical High $218.78 | Professional | 54 · Surgery only | $60.26 | $134.90 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.30 Median $26.92 Typical High $43.65 | Professional | 55 · Aftercare only | $12.30 | $26.92 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.13 Median $18.20 Typical High $29.51 | Professional | 56 · Pre-op care only | $8.13 | $18.20 | $29.51 |
Where Mississippi sits
The same service costs 3.2 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· 19th of 51
$182
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.