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 $707.95 Median $1,071.52 Typical High $2,344.23 | Facility | None | $707.95 | $1,071.52 | $2,344.23 |
Aetna Setting Professional Modifier None Typical Low $1,071.52 Median $1,819.70 Typical High $2,344.23 | Professional | None | $1,071.52 | $1,819.70 | $2,344.23 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Facility | None | $1,949.84 | $1,949.84 | $1,949.84 |
BCBS Mississippi Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,862.09 Typical High $2,884.03 | Facility | None | $660.69 | $1,862.09 | $2,884.03 |
Cigna Setting Professional Modifier None Typical Low $831.76 Median $1,659.59 Typical High $1,862.09 | Professional | None | $831.76 | $1,659.59 | $1,862.09 |
Molina Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $44.67 | Professional | None | $21.38 | $25.12 | $44.67 |
United Setting Facility Modifier None Typical Low $977.24 Median $1,737.80 Typical High $6,606.93 | Facility | None | $977.24 | $1,737.80 | $6,606.93 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,318.26 Typical High $2,398.83 | Professional | None | $1,023.29 | $1,318.26 | $2,398.83 |
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 $537.03 Median $912.01 Typical High $1,174.90 | Professional | 52 · Reduced service | $537.03 | $912.01 | $1,174.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $363.08 Typical High $478.63 | Professional | 53 · Discontinued | $213.80 | $363.08 | $478.63 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $794.33 Median $1,348.96 Typical High $1,778.28 | Professional | 54 · Surgery only | $794.33 | $1,348.96 | $1,778.28 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $158.49 Median $275.42 Typical High $354.81 | Professional | 55 · Aftercare only | $158.49 | $275.42 | $354.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $107.15 Median $181.97 Typical High $234.42 | Professional | 56 · Pre-op care only | $107.15 | $181.97 | $234.42 |
Where Mississippi sits
The same service costs 4.8 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· 35th of 51
$1,349
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.