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 $346.74 Median $758.58 Typical High $1,819.70 | Facility | None | $346.74 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $389.05 Typical High $1,621.81 | Professional | None | $83.18 | $389.05 | $1,621.81 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,995.26 | Facility | None | $1,778.28 | $1,778.28 | $1,995.26 |
BCBS Mississippi Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $398.11 Typical High $812.83 | Facility | None | $323.59 | $398.11 | $812.83 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $223.87 Typical High $645.65 | Professional | None | $100.00 | $223.87 | $645.65 |
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 $660.69 Typical High $1,737.80 | Facility | None | $302.00 | $660.69 | $1,737.80 |
United Setting Professional Modifier None Typical Low $89.13 Median $380.19 Typical High $870.96 | Professional | None | $89.13 | $380.19 | $870.96 |
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 $41.69 Median $190.55 Typical High $794.33 | Professional | 52 · Reduced service | $41.69 | $190.55 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $77.62 Typical High $323.59 | Professional | 53 · Discontinued | $16.60 | $77.62 | $323.59 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $288.40 Typical High $1,202.26 | Professional | 54 · Surgery only | $63.10 | $288.40 | $1,202.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $57.54 Typical High $239.88 | Professional | 55 · Aftercare only | $12.59 | $57.54 | $239.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $38.90 Typical High $162.18 | Professional | 56 · Pre-op care only | $8.32 | $38.90 | $162.18 |
Where Mississippi sits
The same service costs 7.8 times more in Oklahoma 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· 28th of 51
$437
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.