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 $630.96 Median $891.25 Typical High $1,995.26 | Facility | None | $630.96 | $891.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $1,202.26 Typical High $1,202.26 | Professional | None | $489.78 | $1,202.26 | $1,202.26 |
BCBS Mississippi Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | None | $3,019.95 | $3,019.95 | $3,019.95 |
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 $660.69 Median $4,786.30 Typical High $7,585.78 | Facility | None | $660.69 | $4,786.30 | $7,585.78 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $758.58 Typical High $851.14 | Professional | None | $436.52 | $758.58 | $851.14 |
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 $1,122.02 Median $2,511.89 Typical High $14,125.38 | Facility | None | $1,122.02 | $2,511.89 | $14,125.38 |
United Setting Professional Modifier None Typical Low $446.68 Median $537.03 Typical High $1,258.93 | Professional | None | $446.68 | $537.03 | $1,258.93 |
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 $245.47 Median $602.56 Typical High $602.56 | Professional | 52 · Reduced service | $245.47 | $602.56 | $602.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $239.88 Typical High $239.88 | Professional | 53 · Discontinued | $97.72 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $371.54 Median $912.01 Typical High $912.01 | Professional | 54 · Surgery only | $371.54 | $912.01 | $912.01 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $181.97 Typical High $181.97 | Professional | 55 · Aftercare only | $74.13 | $181.97 | $181.97 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $120.23 Typical High $120.23 | Professional | 56 · Pre-op care only | $48.98 | $120.23 | $120.23 |
Where Mississippi sits
The same service costs 3.9 times more in Alaska than in New York. 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· 12th of 51
$977
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.