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 $478.63 Median $891.25 Typical High $1,819.70 | Facility | None | $478.63 | $891.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $1,548.82 Typical High $1,548.82 | Professional | None | $524.81 | $1,548.82 | $1,548.82 |
BCBS Mississippi Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | None | $2,570.40 | $2,570.40 | $2,570.40 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $4,677.35 Typical High $7,413.10 | Facility | None | $660.69 | $4,677.35 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $954.99 Typical High $1,047.13 | Professional | None | $416.87 | $954.99 | $1,047.13 |
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 $467.74 Median $758.58 Typical High $10,471.29 | Facility | None | $467.74 | $758.58 | $10,471.29 |
United Setting Professional Modifier None Typical Low $549.54 Median $707.95 Typical High $1,258.93 | Professional | None | $549.54 | $707.95 | $1,258.93 |
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 $263.03 Median $776.25 Typical High $776.25 | Professional | 52 · Reduced service | $263.03 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $309.03 Typical High $309.03 | Professional | 53 · Discontinued | $104.71 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $389.05 Median $1,174.90 Typical High $1,174.90 | Professional | 54 · Surgery only | $389.05 | $1,174.90 | $1,174.90 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $234.42 Typical High $234.42 | Professional | 55 · Aftercare only | $79.43 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $154.88 Typical High $154.88 | Professional | 56 · Pre-op care only | $52.48 | $154.88 | $154.88 |
Where Mississippi sits
The same service costs 3.9 times more in Alaska 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· 14th of 51
$1,000
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.