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 $323.59 Median $1,000.00 Typical High $1,819.70 | Facility | None | $323.59 | $1,000.00 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $1,513.56 Typical High $6,918.31 | Professional | None | $323.59 | $1,513.56 | $6,918.31 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $162.18 Median $758.58 Typical High $3,388.44 | Professional | 52 · Reduced service | $162.18 | $758.58 | $3,388.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $302.00 Typical High $1,380.38 | Professional | 53 · Discontinued | $66.07 | $302.00 | $1,380.38 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $245.47 Median $1,148.15 Typical High $5,128.61 | Professional | 54 · Surgery only | $245.47 | $1,148.15 | $5,128.61 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $229.09 Typical High $1,023.29 | Professional | 55 · Aftercare only | $48.98 | $229.09 | $1,023.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $151.36 Typical High $691.83 | Professional | 56 · Pre-op care only | $32.36 | $151.36 | $691.83 |
BCBS Mississippi Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,677.35 | Facility | None | $4,265.80 | $4,265.80 | $4,677.35 |
BCBS Mississippi Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None | $741.31 | $741.31 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Facility | None | $4,466.84 | $4,466.84 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $1,122.02 Typical High $2,398.83 | Professional | None | $416.87 | $1,122.02 | $2,398.83 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $263.03 | Professional | None | $33.11 | $33.11 | $263.03 |
United Setting Facility Modifier None Typical Low $954.99 Median $3,630.78 Typical High $7,943.28 | Facility | None | $954.99 | $3,630.78 | $7,943.28 |
United Setting Professional Modifier None Typical Low $302.00 Median $1,348.96 Typical High $2,951.21 | Professional | None | $302.00 | $1,348.96 | $2,951.21 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 50 · Both sides | $269.15 | $269.15 | $269.15 |
Where Mississippi sits
The same service costs 5.6 times more in Wisconsin than in Maryland. 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· 37th of 51
$1,380
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.