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 $64.57 Median $776.25 Typical High $1,995.26 | Facility | None | $64.57 | $776.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $138.04 Typical High $338.84 | Professional | None | $64.57 | $138.04 | $338.84 |
Ambetter Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
BCBS Mississippi Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
BCBS Mississippi Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $81.28 Typical High $181.97 | Facility | None | $50.12 | $81.28 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $104.71 Typical High $165.96 | Professional | None | $67.61 | $104.71 | $165.96 |
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 $316.23 Typical High $1,096.48 | Facility | None | $91.20 | $316.23 | $1,096.48 |
United Setting Professional Modifier None Typical Low $67.61 Median $117.49 Typical High $229.09 | Professional | None | $67.61 | $117.49 | $229.09 |
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 $32.36 Median $100.00 Typical High $169.82 | Professional | 52 · Reduced service | $32.36 | $100.00 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $39.81 Typical High $67.61 | Professional | 53 · Discontinued | $12.88 | $39.81 | $67.61 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $48.98 Median $147.91 Typical High $251.19 | Professional | 54 · Surgery only | $48.98 | $147.91 | $251.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $29.51 Typical High $50.12 | Professional | 55 · Aftercare only | $9.77 | $29.51 | $50.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $19.95 Typical High $33.88 | Professional | 56 · Pre-op care only | $6.46 | $19.95 | $33.88 |
Where Mississippi sits
The same service costs 3.3 times more in Alaska 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· 20th of 51
$135
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.