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 $181.97 Median $891.25 Typical High $1,995.26 | Facility | None | $181.97 | $891.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $407.38 Typical High $851.14 | Professional | None | $181.97 | $407.38 | $851.14 |
BCBS Mississippi Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
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 $151.36 Median $295.12 Typical High $338.84 | Professional | None | $151.36 | $295.12 | $338.84 |
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 $173.78 Median $218.78 Typical High $489.78 | Professional | None | $173.78 | $218.78 | $489.78 |
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 $91.20 Median $204.17 Typical High $426.58 | Professional | 52 · Reduced service | $91.20 | $204.17 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $81.28 Typical High $169.82 | Professional | 53 · Discontinued | $36.31 | $81.28 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $138.04 Median $302.00 Typical High $630.96 | Professional | 54 · Surgery only | $138.04 | $302.00 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $60.26 Typical High $125.89 | Professional | 55 · Aftercare only | $27.54 | $60.26 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $40.74 Typical High $85.11 | Professional | 56 · Pre-op care only | $18.20 | $40.74 | $85.11 |
Where Mississippi sits
The same service costs 4.3 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· 6th of 51
$479
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.