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 $436.52 Median $1,380.38 Typical High $4,466.84 | Facility | None | $436.52 | $1,380.38 | $4,466.84 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $436.52 Typical High $5,623.41 | Professional | None | $173.78 | $436.52 | $5,623.41 |
BCBS Mississippi Setting Facility Modifier None Typical Low $7,762.47 Median $7,762.47 Typical High $10,471.29 | Facility | None | $7,762.47 | $7,762.47 | $10,471.29 |
BCBS Mississippi Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $3,981.07 Typical High $6,309.57 | Facility | None | $660.69 | $3,981.07 | $6,309.57 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $1,778.28 Typical High $3,715.35 | Professional | None | $177.83 | $1,778.28 | $3,715.35 |
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 $1,148.15 Median $2,511.89 Typical High $10,715.19 | Facility | None | $1,148.15 | $2,511.89 | $10,715.19 |
United Setting Professional Modifier None Typical Low $165.96 Median $2,754.23 Typical High $6,606.93 | Professional | None | $165.96 | $2,754.23 | $6,606.93 |
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 $87.10 Median $213.80 Typical High $2,818.38 | Professional | 52 · Reduced service | $87.10 | $213.80 | $2,818.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $87.10 Typical High $1,122.02 | Professional | 53 · Discontinued | $35.48 | $87.10 | $1,122.02 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $323.59 Typical High $4,168.69 | Professional | 54 · Surgery only | $131.83 | $323.59 | $4,168.69 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $64.57 Typical High $831.76 | Professional | 55 · Aftercare only | $26.30 | $64.57 | $831.76 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $43.65 Typical High $562.34 | Professional | 56 · Pre-op care only | $17.38 | $43.65 | $562.34 |
Where Mississippi sits
The same service costs 33.1 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· 32nd of 51
$2,291
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.