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 $102.33 Median $758.58 Typical High $1,819.70 | Facility | None | $102.33 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $204.17 Typical High $316.23 | Professional | None | $102.33 | $204.17 | $316.23 |
BCBS Mississippi Setting Facility Modifier None Typical Low $89.13 Median $91.20 Typical High $91.20 | Facility | None | $89.13 | $91.20 | $91.20 |
BCBS Mississippi Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $128.82 Typical High $204.17 | Professional | None | $83.18 | $128.82 | $204.17 |
Molina Setting Professional Modifier None Typical Low $19.95 Median $21.38 Typical High $42.66 | Professional | None | $19.95 | $21.38 | $42.66 |
United Setting Facility Modifier None Typical Low $724.44 Median $1,380.38 Typical High $4,570.88 | Facility | None | $724.44 | $1,380.38 | $4,570.88 |
United Setting Professional Modifier None Typical Low $75.86 Median $144.54 Typical High $295.12 | Professional | None | $75.86 | $144.54 | $295.12 |
4 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 $51.29 Median $102.33 Typical High $158.49 | Professional | 52 · Reduced service | $51.29 | $102.33 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $41.69 Typical High $63.10 | Professional | 53 · Discontinued | $20.42 | $41.69 | $63.10 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $30.90 Typical High $46.77 | Professional | 55 · Aftercare only | $15.49 | $30.90 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $20.42 Typical High $31.62 | Professional | 56 · Pre-op care only | $10.23 | $20.42 | $31.62 |
Where Mississippi sits
The same service costs 8.7 times more in Oklahoma than in Michigan. 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· 30th of 51
$148
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.