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 $67.61 Median $549.54 Typical High $1,819.70 | Facility | None | $67.61 | $549.54 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $83.18 Typical High $199.53 | Professional | None | $29.51 | $83.18 | $199.53 |
Ambetter Setting Professional Modifier None Typical Low $56.23 Median $77.62 Typical High $91.20 | Professional | None | $56.23 | $77.62 | $91.20 |
BCBS Mississippi Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
BCBS Mississippi Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $60.26 Typical High $151.36 | Facility | None | $50.12 | $60.26 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $79.43 Typical High $144.54 | Professional | None | $34.67 | $79.43 | $144.54 |
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 $30.90 Median $75.86 Typical High $158.49 | Professional | None | $30.90 | $75.86 | $158.49 |
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 $14.13 Median $41.69 Typical High $100.00 | Professional | 52 · Reduced service | $14.13 | $41.69 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $16.60 Typical High $39.81 | Professional | 53 · Discontinued | $5.62 | $16.60 | $39.81 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $20.89 Median $61.66 Typical High $147.91 | Professional | 54 · Surgery only | $20.89 | $61.66 | $147.91 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.17 Median $12.59 Typical High $29.51 | Professional | 55 · Aftercare only | $4.17 | $12.59 | $29.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.82 Median $8.32 Typical High $19.95 | Professional | 56 · Pre-op care only | $2.82 | $8.32 | $19.95 |
Where Mississippi sits
The same service costs 3.1 times more in Wisconsin than in Nebraska. 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· 26th of 51
$85.11
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.