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 $104.71 Median $758.58 Typical High $1,819.70 | Facility | None | $104.71 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $223.87 Typical High $251.19 | Professional | None | $104.71 | $223.87 | $251.19 |
Ambetter Setting Professional Modifier None Typical Low $288.40 Median $295.12 Typical High $794.33 | Professional | None | $288.40 | $295.12 | $794.33 |
BCBS Mississippi Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $676.08 Typical High $1,737.80 | Facility | None | $588.84 | $676.08 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $194.98 Typical High $275.42 | Professional | None | $134.90 | $194.98 | $275.42 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
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 $95.50 Median $123.03 Typical High $281.84 | Professional | None | $95.50 | $123.03 | $281.84 |
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 $52.48 Median $112.20 Typical High $125.89 | Professional | 52 · Reduced service | $52.48 | $112.20 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $44.67 Typical High $50.12 | Professional | 53 · Discontinued | $20.89 | $44.67 | $50.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $77.62 Median $165.96 Typical High $190.55 | Professional | 54 · Surgery only | $77.62 | $165.96 | $190.55 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $33.88 Typical High $38.02 | Professional | 55 · Aftercare only | $15.49 | $33.88 | $38.02 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $22.39 Typical High $25.12 | Professional | 56 · Pre-op care only | $10.47 | $22.39 | $25.12 |
Where Mississippi sits
The same service costs 4.0 times more in Alaska than in Delaware. 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
$195
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.