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 $3.89 Median $758.58 Typical High $1,819.70 | Facility | None | $3.89 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $1.74 Median $5.25 Typical High $12.02 | Professional | None | $1.74 | $5.25 | $12.02 |
Ambetter Setting Professional Modifier None Typical Low $5.13 Median $5.62 Typical High $12.30 | Professional | None | $5.13 | $5.62 | $12.30 |
BCBS Mississippi Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $158.49 Typical High $1,737.80 | Facility | None | $50.12 | $158.49 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $1.82 Median $4.90 Typical High $12.59 | Professional | None | $1.82 | $4.90 | $12.59 |
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 $89.13 Median $295.12 Typical High $1,318.26 | Facility | None | $89.13 | $295.12 | $1,318.26 |
United Setting Professional Modifier None Typical Low $2.04 Median $5.50 Typical High $12.30 | Professional | None | $2.04 | $5.50 | $12.30 |
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 $0.87 Median $1.95 Typical High $6.03 | Professional | 52 · Reduced service | $0.87 | $1.95 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.35 Median $1.00 Typical High $2.40 | Professional | 53 · Discontinued | $0.35 | $1.00 | $2.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1.32 Median $3.80 Typical High $9.12 | Professional | 54 · Surgery only | $1.32 | $3.80 | $9.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.26 Median $0.76 Typical High $1.82 | Professional | 55 · Aftercare only | $0.26 | $0.76 | $1.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.18 Median $0.39 Typical High $1.20 | Professional | 56 · Pre-op care only | $0.18 | $0.39 | $1.20 |
Where Mississippi sits
The same service costs 3.0 times more in Alaska than in Nebraska. 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· 12th of 51
$7.59
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.