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 $1,513.56 Median $3,311.31 Typical High $6,918.31 | Professional | None | $1,513.56 | $3,311.31 | $6,918.31 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
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 $562.34 Median $1,995.26 Typical High $2,570.40 | Professional | None | $562.34 | $1,995.26 | $2,570.40 |
Molina Setting Professional Modifier None Typical Low $38.02 Median $42.66 Typical High $50.12 | Professional | None | $38.02 | $42.66 | $50.12 |
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 $1,548.82 Median $1,862.09 Typical High $4,786.30 | Professional | None | $1,548.82 | $1,862.09 | $4,786.30 |
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 $741.31 Median $1,659.59 Typical High $3,467.37 | Professional | 52 · Reduced service | $741.31 | $1,659.59 | $3,467.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $302.00 Median $660.69 Typical High $1,380.38 | Professional | 53 · Discontinued | $302.00 | $660.69 | $1,380.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $1,122.02 Median $2,511.89 Typical High $5,248.07 | Professional | 54 · Surgery only | $1,122.02 | $2,511.89 | $5,248.07 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $223.87 Median $501.19 Typical High $1,047.13 | Professional | 55 · Aftercare only | $223.87 | $501.19 | $1,047.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $151.36 Median $331.13 Typical High $691.83 | Professional | 56 · Pre-op care only | $151.36 | $331.13 | $691.83 |
Where Mississippi sits
The same service costs 4.7 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· 36th of 51
$1,820
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.