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 $1,148.15 Typical High $2,570.40 | Facility | None | $707.95 | $1,148.15 | $2,570.40 |
Aetna Setting Professional Modifier None Typical Low $1,995.26 Median $3,467.37 Typical High $4,466.84 | Professional | None | $1,995.26 | $3,467.37 | $4,466.84 |
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 $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,818.38 | $2,818.38 | $2,818.38 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,862.09 Typical High $3,715.35 | Facility | None | $660.69 | $1,862.09 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $3,162.28 Typical High $3,548.13 | Professional | None | $1,548.82 | $3,162.28 | $3,548.13 |
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 $2,089.30 Median $2,511.89 Typical High $4,466.84 | Professional | None | $2,089.30 | $2,511.89 | $4,466.84 |
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 $1,000.00 Median $1,698.24 Typical High $2,238.72 | Professional | 52 · Reduced service | $1,000.00 | $1,698.24 | $2,238.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $407.38 Median $691.83 Typical High $891.25 | Professional | 53 · Discontinued | $407.38 | $691.83 | $891.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,513.56 Median $2,570.40 Typical High $3,388.44 | Professional | 54 · Surgery only | $1,513.56 | $2,570.40 | $3,388.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $302.00 Median $512.86 Typical High $676.08 | Professional | 55 · Aftercare only | $302.00 | $512.86 | $676.08 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $199.53 Median $346.74 Typical High $446.68 | Professional | 56 · Pre-op care only | $199.53 | $346.74 | $446.68 |
Where Mississippi sits
The same service costs 7.1 times more in Alaska than in Kentucky. 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· 26th of 51
$2,570
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.