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 $56.23 Median $549.54 Typical High $1,819.70 | Facility | None | $56.23 | $549.54 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $100.00 Typical High $138.04 | Professional | None | $40.74 | $100.00 | $138.04 |
Ambetter Setting Professional Modifier None Typical Low $40.74 Median $63.10 Typical High $83.18 | Professional | None | $40.74 | $63.10 | $83.18 |
BCBS Mississippi Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
BCBS Mississippi Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | None | $138.04 | $138.04 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $44.67 Typical High $524.81 | Facility | None | $36.31 | $44.67 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $77.62 Typical High $107.15 | Professional | None | $53.70 | $77.62 | $107.15 |
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 $346.74 Typical High $1,096.48 | Facility | None | $91.20 | $346.74 | $1,096.48 |
United Setting Professional Modifier None Typical Low $43.65 Median $57.54 Typical High $138.04 | Professional | None | $43.65 | $57.54 | $138.04 |
6 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 $20.42 Median $48.98 Typical High $69.18 | Professional | 52 · Reduced service | $20.42 | $48.98 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $19.95 Typical High $27.54 | Professional | 53 · Discontinued | $8.13 | $19.95 | $27.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $30.90 Median $74.13 Typical High $104.71 | Professional | 54 · Surgery only | $30.90 | $74.13 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $14.79 Typical High $20.89 | Professional | 55 · Aftercare only | $6.17 | $14.79 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.07 Median $10.00 Typical High $13.80 | Professional | 56 · Pre-op care only | $4.07 | $10.00 | $13.80 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $66.07 Median $93.33 Typical High $123.03 | Professional | 50 · Both sides | $66.07 | $93.33 | $123.03 |
Where Mississippi sits
The same service costs 4.2 times more in Alaska than in Florida. 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· 24th of 51
$74.13
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.