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 $181.97 Median $758.58 Typical High $1,819.70 | Facility | None | $181.97 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $398.11 Typical High $831.76 | Professional | None | $87.10 | $398.11 | $831.76 |
BCBS Mississippi Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
BCBS Mississippi Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $1,513.56 Typical High $2,454.71 | Facility | None | $436.52 | $1,513.56 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $190.55 Typical High $380.19 | Professional | None | $107.15 | $190.55 | $380.19 |
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 $302.00 Median $616.60 Typical High $4,073.80 | Facility | None | $302.00 | $616.60 | $4,073.80 |
United Setting Professional Modifier None Typical Low $93.33 Median $234.42 Typical High $489.78 | Professional | None | $93.33 | $234.42 | $489.78 |
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 $43.65 Median $199.53 Typical High $416.87 | Professional | 52 · Reduced service | $43.65 | $199.53 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $79.43 Typical High $165.96 | Professional | 53 · Discontinued | $17.38 | $79.43 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $64.57 Median $302.00 Typical High $630.96 | Professional | 54 · Surgery only | $64.57 | $302.00 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.88 Median $60.26 Typical High $125.89 | Professional | 55 · Aftercare only | $12.88 | $60.26 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $39.81 Typical High $83.18 | Professional | 56 · Pre-op care only | $8.71 | $39.81 | $83.18 |
Where Mississippi sits
The same service costs 4.1 times more in Alaska than in Nebraska. 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· 22nd of 51
$288
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.