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 $31.62 Median $549.54 Typical High $1,819.70 | Facility | None | $31.62 | $549.54 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $70.79 Typical High $151.36 | Professional | None | $31.62 | $70.79 | $151.36 |
Ambetter Setting Professional Modifier None Typical Low $31.62 Median $41.69 Typical High $95.50 | Professional | None | $31.62 | $41.69 | $95.50 |
BCBS Mississippi Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
BCBS Mississippi Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $89.13 Typical High $338.84 | Facility | None | $50.12 | $89.13 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $57.54 Typical High $112.20 | Professional | None | $32.36 | $57.54 | $112.20 |
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 $91.20 Median $316.23 Typical High $1,096.48 | Facility | None | $91.20 | $316.23 | $1,096.48 |
United Setting Professional Modifier None Typical Low $34.67 Median $70.79 Typical High $107.15 | Professional | None | $34.67 | $70.79 | $107.15 |
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 $15.85 Median $35.48 Typical High $75.86 | Professional | 52 · Reduced service | $15.85 | $35.48 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $14.13 Typical High $30.20 | Professional | 53 · Discontinued | $6.31 | $14.13 | $30.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $23.99 Median $52.48 Typical High $114.82 | Professional | 54 · Surgery only | $23.99 | $52.48 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.79 Median $10.47 Typical High $22.91 | Professional | 55 · Aftercare only | $4.79 | $10.47 | $22.91 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.16 Median $7.08 Typical High $15.14 | Professional | 56 · Pre-op care only | $3.16 | $7.08 | $15.14 |
Where Mississippi sits
The same service costs 3.7 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· 18th of 51
$85.11
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.