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 $281.84 Median $1,000.00 Typical High $1,995.26 | Facility | None | $281.84 | $1,000.00 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $630.96 Typical High $1,318.26 | Professional | None | $281.84 | $630.96 | $1,318.26 |
BCBS Mississippi Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
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 $263.03 Median $457.09 Typical High $489.78 | Professional | None | $263.03 | $457.09 | $489.78 |
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 $323.59 Median $691.83 Typical High $3,090.30 | Facility | None | $323.59 | $691.83 | $3,090.30 |
United Setting Professional Modifier None Typical Low $269.15 Median $316.23 Typical High $758.58 | Professional | None | $269.15 | $316.23 | $758.58 |
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 $141.25 Median $316.23 Typical High $660.69 | Professional | 52 · Reduced service | $141.25 | $316.23 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $125.89 Typical High $263.03 | Professional | 53 · Discontinued | $56.23 | $125.89 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $467.74 Typical High $977.24 | Professional | 54 · Surgery only | $213.80 | $467.74 | $977.24 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $93.33 Typical High $199.53 | Professional | 55 · Aftercare only | $42.66 | $93.33 | $199.53 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $63.10 Typical High $131.83 | Professional | 56 · Pre-op care only | $28.18 | $63.10 | $131.83 |
Where Mississippi sits
The same service costs 3.9 times more in Wisconsin 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
$575
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.