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 $416.87 Median $851.14 Typical High $1,819.70 | Facility | None | $416.87 | $851.14 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $346.74 Median $741.31 Typical High $851.14 | Professional | None | $346.74 | $741.31 | $851.14 |
BCBS Mississippi Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
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 $363.08 Median $630.96 Typical High $870.96 | Professional | None | $363.08 | $630.96 | $870.96 |
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 $302.00 Median $380.19 Typical High $912.01 | Professional | None | $302.00 | $380.19 | $912.01 |
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 $173.78 Median $371.54 Typical High $416.87 | Professional | 52 · Reduced service | $173.78 | $371.54 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $147.91 Typical High $169.82 | Professional | 53 · Discontinued | $69.18 | $147.91 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $562.34 Typical High $630.96 | Professional | 54 · Surgery only | $263.03 | $562.34 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $112.20 Typical High $125.89 | Professional | 55 · Aftercare only | $52.48 | $112.20 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $34.67 Median $74.13 Typical High $85.11 | Professional | 56 · Pre-op care only | $34.67 | $74.13 | $85.11 |
Where Mississippi sits
The same service costs 4.6 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· 17th of 51
$589
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.