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 $549.54 Median $758.58 Typical High $1,995.26 | Facility | None | $549.54 | $758.58 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $602.56 Typical High $2,187.76 | Professional | None | $194.98 | $602.56 | $2,187.76 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $302.00 Typical High $1,096.48 | Professional | 52 · Reduced service | $97.72 | $302.00 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $120.23 Typical High $436.52 | Professional | 53 · Discontinued | $38.90 | $120.23 | $436.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $147.91 Median $446.68 Typical High $1,621.81 | Professional | 54 · Surgery only | $147.91 | $446.68 | $1,621.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $89.13 Typical High $323.59 | Professional | 55 · Aftercare only | $29.51 | $89.13 | $323.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $60.26 Typical High $218.78 | Professional | 56 · Pre-op care only | $19.50 | $60.26 | $218.78 |
BCBS Mississippi Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $5,248.07 | Facility | None | $3,467.37 | $3,467.37 | $5,248.07 |
BCBS Mississippi Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $602.56 Typical High $1,348.96 | Professional | None | $257.04 | $602.56 | $1,348.96 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $169.82 | Professional | None | $33.11 | $33.11 | $169.82 |
United Setting Facility Modifier None Typical Low $954.99 Median $3,981.07 Typical High $8,317.64 | Facility | None | $954.99 | $3,981.07 | $8,317.64 |
United Setting Professional Modifier None Typical Low $208.93 Median $741.31 Typical High $1,584.89 | Professional | None | $208.93 | $741.31 | $1,584.89 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 51 · Multiple procedures Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 51 · Multiple procedures | $218.78 | $218.78 | $218.78 |
Where Mississippi sits
The same service costs 5.4 times more in Wisconsin 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· 38th of 51
$708
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.