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 $467.74 Median $1,000.00 Typical High $1,995.26 | Facility | None | $467.74 | $1,000.00 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $1,148.15 Typical High $1,148.15 | Professional | None | $467.74 | $1,148.15 | $1,148.15 |
BCBS Mississippi Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,090.30 | Facility | None | $3,090.30 | $3,090.30 | $3,090.30 |
BCBS Mississippi Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $2,818.38 Typical High $4,570.88 | Facility | None | $660.69 | $2,818.38 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $389.05 Typical High $660.69 | Professional | None | $331.13 | $389.05 | $660.69 |
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 $758.58 Median $1,412.54 Typical High $7,585.78 | Facility | None | $758.58 | $1,412.54 | $7,585.78 |
United Setting Professional Modifier None Typical Low $251.19 Median $416.87 Typical High $891.25 | Professional | None | $251.19 | $416.87 | $891.25 |
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 $234.42 Median $575.44 Typical High $575.44 | Professional | 52 · Reduced service | $234.42 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $229.09 Typical High $229.09 | Professional | 53 · Discontinued | $93.33 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $346.74 Median $851.14 Typical High $851.14 | Professional | 54 · Surgery only | $346.74 | $851.14 | $851.14 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $173.78 Typical High $173.78 | Professional | 55 · Aftercare only | $69.18 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $46.77 Median $114.82 Typical High $114.82 | Professional | 56 · Pre-op care only | $46.77 | $114.82 | $114.82 |
Where Mississippi sits
The same service costs 5.2 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· 23rd of 51
$631
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.