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 $478.63 Median $891.25 Typical High $1,819.70 | Facility | None | $478.63 | $891.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $1,318.26 Typical High $1,513.56 | Professional | None | $616.60 | $1,318.26 | $1,513.56 |
BCBS Mississippi Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $758.58 Typical High $1,737.80 | Facility | None | $588.84 | $758.58 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $776.25 Median $1,096.48 Typical High $1,202.26 | Professional | None | $776.25 | $1,096.48 | $1,202.26 |
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 $588.84 Median $707.95 Typical High $1,584.89 | Professional | None | $588.84 | $707.95 | $1,584.89 |
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 $309.03 Median $660.69 Typical High $758.58 | Professional | 52 · Reduced service | $309.03 | $660.69 | $758.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $263.03 Typical High $302.00 | Professional | 53 · Discontinued | $123.03 | $263.03 | $302.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $467.74 Median $1,000.00 Typical High $1,122.02 | Professional | 54 · Surgery only | $467.74 | $1,000.00 | $1,122.02 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $199.53 Typical High $223.87 | Professional | 55 · Aftercare only | $93.33 | $199.53 | $223.87 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $61.66 Median $131.83 Typical High $151.36 | Professional | 56 · Pre-op care only | $61.66 | $131.83 | $151.36 |
Where Mississippi sits
The same service costs 4.7 times more in Alaska than in Utah. 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· 29th of 51
$851
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.