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 $416.87 Median $776.25 Typical High $1,819.70 | Facility | None | $416.87 | $776.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $263.03 Typical High $549.54 | Professional | None | $117.49 | $263.03 | $549.54 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | None | $1,737.80 | $1,737.80 | $1,737.80 |
BCBS Mississippi Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $1,949.84 Typical High $3,890.45 | Facility | None | $436.52 | $1,949.84 | $3,890.45 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $194.98 Typical High $275.42 | Professional | None | $109.65 | $194.98 | $275.42 |
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 $977.24 Median $1,737.80 Typical High $6,456.54 | Facility | None | $977.24 | $1,737.80 | $6,456.54 |
United Setting Professional Modifier None Typical Low $112.20 Median $141.25 Typical High $316.23 | Professional | None | $112.20 | $141.25 | $316.23 |
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 $58.88 Median $131.83 Typical High $275.42 | Professional | 52 · Reduced service | $58.88 | $131.83 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $52.48 Typical High $109.65 | Professional | 53 · Discontinued | $23.44 | $52.48 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $89.13 Median $194.98 Typical High $407.38 | Professional | 54 · Surgery only | $89.13 | $194.98 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $39.81 Typical High $83.18 | Professional | 55 · Aftercare only | $17.78 | $39.81 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $26.30 Typical High $54.95 | Professional | 56 · Pre-op care only | $11.75 | $26.30 | $54.95 |
Where Mississippi sits
The same service costs 12.9 times more in Arkansas than in New York. 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· 17th of 51
$302
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.