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 $363.08 Median $1,000.00 Typical High $2,089.30 | Facility | None | $363.08 | $1,000.00 | $2,089.30 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $1,698.24 Typical High $8,511.38 | Professional | None | $363.08 | $1,698.24 | $8,511.38 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $181.97 Median $851.14 Typical High $4,265.80 | Professional | 52 · Reduced service | $181.97 | $851.14 | $4,265.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $338.84 Typical High $1,698.24 | Professional | 53 · Discontinued | $72.44 | $338.84 | $1,698.24 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $275.42 Median $1,258.93 Typical High $6,456.54 | Professional | 54 · Surgery only | $275.42 | $1,258.93 | $6,456.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $257.04 Typical High $1,288.25 | Professional | 55 · Aftercare only | $54.95 | $257.04 | $1,288.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $36.31 Median $169.82 Typical High $851.14 | Professional | 56 · Pre-op care only | $36.31 | $169.82 | $851.14 |
Ambetter Setting Professional Modifier None Typical Low $141.25 Median $177.83 Typical High $177.83 | Professional | None | $141.25 | $177.83 | $177.83 |
BCBS Mississippi Setting Facility Modifier None Typical Low $6,606.93 Median $8,128.31 Typical High $8,128.31 | Facility | None | $6,606.93 | $8,128.31 | $8,128.31 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None | $2,290.87 | $2,290.87 | $2,290.87 |
Cigna Setting Facility Modifier None Typical Low $9,332.54 Median $9,332.54 Typical High $9,332.54 | Facility | None | $9,332.54 | $9,332.54 | $9,332.54 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $1,380.38 Typical High $3,019.95 | Professional | None | $467.74 | $1,380.38 | $3,019.95 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $295.12 | Professional | None | $33.11 | $33.11 | $295.12 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $6,456.54 Typical High $14,125.38 | Facility | None | $1,174.90 | $6,456.54 | $14,125.38 |
United Setting Professional Modifier None Typical Low $338.84 Median $1,548.82 Typical High $3,467.37 | Professional | None | $338.84 | $1,548.82 | $3,467.37 |
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 $524.81 Median $524.81 Typical High $524.81 | Professional | 50 · Both sides | $524.81 | $524.81 | $524.81 |
Where Mississippi sits
The same service costs 6.2 times more in Washington 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· 28th 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.