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 $758.58 Median $1,318.26 Typical High $2,818.38 | Facility | None | $758.58 | $1,318.26 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $2,511.89 Median $5,623.41 Typical High $11,748.98 | Professional | None | $2,511.89 | $5,623.41 | $11,748.98 |
BCBS Mississippi Setting Professional Modifier None Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None | $3,162.28 | $3,162.28 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,000.00 Typical High $1,202.26 | Facility | None | $660.69 | $1,000.00 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $1,819.70 Median $3,981.07 Typical High $4,365.16 | Professional | None | $1,819.70 | $3,981.07 | $4,365.16 |
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 $2,398.83 Median $2,884.03 Typical High $6,760.83 | Professional | None | $2,398.83 | $2,884.03 | $6,760.83 |
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 $1,258.93 Median $2,818.38 Typical High $5,888.44 | Professional | 52 · Reduced service | $1,258.93 | $2,818.38 | $5,888.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $501.19 Median $1,122.02 Typical High $2,344.23 | Professional | 53 · Discontinued | $501.19 | $1,122.02 | $2,344.23 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,905.46 Median $4,168.69 Typical High $8,709.64 | Professional | 54 · Surgery only | $1,905.46 | $4,168.69 | $8,709.64 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $380.19 Median $831.76 Typical High $1,778.28 | Professional | 55 · Aftercare only | $380.19 | $831.76 | $1,778.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $251.19 Median $562.34 Typical High $1,174.90 | Professional | 56 · Pre-op care only | $251.19 | $562.34 | $1,174.90 |
Where Mississippi sits
The same service costs 5.8 times more in Alaska than in Arkansas. 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· 42nd of 51
$2,692
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.