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 $15.14 Median $26.92 Typical High $125.89 | Facility | None | $15.14 | $26.92 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $60.26 Typical High $125.89 | Professional | None | $15.14 | $60.26 | $125.89 |
Ambetter Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $23.44 | Professional | None | $19.50 | $19.50 | $23.44 |
BCBS Mississippi Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
BCBS Mississippi Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $85.11 Typical High $338.84 | Facility | None | $50.12 | $85.11 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $28.18 Typical High $46.77 | Professional | None | $15.49 | $28.18 | $46.77 |
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 $91.20 Median $269.15 Typical High $1,096.48 | Facility | None | $91.20 | $269.15 | $1,096.48 |
United Setting Professional Modifier None Typical Low $15.14 Median $28.84 Typical High $56.23 | Professional | None | $15.14 | $28.84 | $56.23 |
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 $7.59 Median $30.20 Typical High $63.10 | Professional | 52 · Reduced service | $7.59 | $30.20 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $12.02 Typical High $25.12 | Professional | 53 · Discontinued | $3.02 | $12.02 | $25.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $11.48 Median $44.67 Typical High $93.33 | Professional | 54 · Surgery only | $11.48 | $44.67 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.29 Median $8.91 Typical High $18.62 | Professional | 55 · Aftercare only | $2.29 | $8.91 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.51 Median $6.03 Typical High $12.59 | Professional | 56 · Pre-op care only | $1.51 | $6.03 | $12.59 |
Where Mississippi sits
The same service costs 3.5 times more in Wisconsin than in Kentucky. 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· 9th of 51
$46.77
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.