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 $1,584.89 Median $3,467.37 Typical High $7,244.36 | Professional | None | $1,584.89 | $3,467.37 | $7,244.36 |
BCBS Mississippi Setting Professional Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | None | $3,467.37 | $3,467.37 | $3,467.37 |
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 $1,122.02 Median $2,454.71 Typical High $2,754.23 | Professional | None | $1,122.02 | $2,454.71 | $2,754.23 |
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 $1,348.96 Median $1,778.28 Typical High $3,890.45 | Professional | None | $1,348.96 | $1,778.28 | $3,890.45 |
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 $776.25 Median $1,737.80 Typical High $3,630.78 | Professional | 52 · Reduced service | $776.25 | $1,737.80 | $3,630.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $316.23 Median $691.83 Typical High $1,445.44 | Professional | 53 · Discontinued | $316.23 | $691.83 | $1,445.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,174.90 Median $2,630.27 Typical High $5,495.41 | Professional | 54 · Surgery only | $1,174.90 | $2,630.27 | $5,495.41 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $524.81 Typical High $1,096.48 | Professional | 55 · Aftercare only | $234.42 | $524.81 | $1,096.48 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $158.49 Median $346.74 Typical High $724.44 | Professional | 56 · Pre-op care only | $158.49 | $346.74 | $724.44 |
Where Mississippi sits
The same service costs 4.7 times more in Alaska than in Delaware. 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· 40th of 51
$1,738
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.