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 $645.65 Median $1,047.13 Typical High $2,818.38 | Facility | None | $645.65 | $1,047.13 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $645.65 Typical High $6,918.31 | Professional | None | $263.03 | $645.65 | $6,918.31 |
BCBS Mississippi Setting Facility Modifier None Typical Low $8,709.64 Median $8,709.64 Typical High $12,589.25 | Facility | None | $8,709.64 | $8,709.64 | $12,589.25 |
BCBS Mississippi Setting Professional Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $6,606.93 | Professional | None | $6,606.93 | $6,606.93 | $6,606.93 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $2,344.23 Typical High $4,677.35 | Facility | None | $660.69 | $2,344.23 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $2,238.72 Typical High $5,754.40 | Professional | None | $269.15 | $2,238.72 | $5,754.40 |
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 $977.24 Median $1,862.09 Typical High $11,481.54 | Facility | None | $977.24 | $1,862.09 | $11,481.54 |
United Setting Professional Modifier None Typical Low $245.47 Median $3,162.28 Typical High $8,128.31 | Professional | None | $245.47 | $3,162.28 | $8,128.31 |
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 $131.83 Median $323.59 Typical High $3,467.37 | Professional | 52 · Reduced service | $131.83 | $323.59 | $3,467.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $131.83 Typical High $1,380.38 | Professional | 53 · Discontinued | $52.48 | $131.83 | $1,380.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $489.78 Typical High $5,248.07 | Professional | 54 · Surgery only | $199.53 | $489.78 | $5,248.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $97.72 Typical High $1,047.13 | Professional | 55 · Aftercare only | $39.81 | $97.72 | $1,047.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $64.57 Typical High $691.83 | Professional | 56 · Pre-op care only | $26.30 | $64.57 | $691.83 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $9,549.93 Median $9,549.93 Typical High $9,549.93 | Professional | 50 · Both sides | $9,549.93 | $9,549.93 | $9,549.93 |
Where Mississippi sits
The same service costs 10.2 times more in Alaska than in Nebraska. 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· 27th of 51
$2,951
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.