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 $234.42 Median $1,000.00 Typical High $1,995.26 | Facility | None | $234.42 | $1,000.00 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $512.86 Typical High $1,071.52 | Professional | None | $234.42 | $512.86 | $1,071.52 |
BCBS Mississippi Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
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 $165.96 Median $371.54 Typical High $426.58 | Professional | None | $165.96 | $371.54 | $426.58 |
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 $218.78 Median $275.42 Typical High $616.60 | Professional | None | $218.78 | $275.42 | $616.60 |
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 $114.82 Median $257.04 Typical High $537.03 | Professional | 52 · Reduced service | $114.82 | $257.04 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $102.33 Typical High $213.80 | Professional | 53 · Discontinued | $46.77 | $102.33 | $213.80 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $389.05 Typical High $812.83 | Professional | 54 · Surgery only | $173.78 | $389.05 | $812.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $77.62 Typical High $162.18 | Professional | 55 · Aftercare only | $34.67 | $77.62 | $162.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $51.29 Typical High $107.15 | Professional | 56 · Pre-op care only | $23.44 | $51.29 | $107.15 |
Where Mississippi sits
The same service costs 4.0 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· 9th of 51
$513
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.