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 $39.81 Median $758.58 Typical High $1,819.70 | Facility | None | $39.81 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $69.18 Typical High $117.49 | Professional | None | $25.70 | $69.18 | $117.49 |
Ambetter Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $53.70 | Professional | None | $41.69 | $41.69 | $53.70 |
BCBS Mississippi Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
BCBS Mississippi Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None | $100.00 | $100.00 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $89.13 Typical High $338.84 | Facility | None | $50.12 | $89.13 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $48.98 Typical High $102.33 | Professional | None | $29.51 | $48.98 | $102.33 |
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 $269.15 Typical High $1,096.48 | Facility | None | $91.20 | $269.15 | $1,096.48 |
United Setting Professional Modifier None Typical Low $25.12 Median $48.98 Typical High $104.71 | Professional | None | $25.12 | $48.98 | $104.71 |
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 $11.75 Median $34.67 Typical High $58.88 | Professional | 52 · Reduced service | $11.75 | $34.67 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $14.13 Typical High $23.44 | Professional | 53 · Discontinued | $4.68 | $14.13 | $23.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $17.78 Median $52.48 Typical High $89.13 | Professional | 54 · Surgery only | $17.78 | $52.48 | $89.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $3.55 Median $10.47 Typical High $17.78 | Professional | 55 · Aftercare only | $3.55 | $10.47 | $17.78 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.34 Median $6.92 Typical High $11.75 | Professional | 56 · Pre-op care only | $2.34 | $6.92 | $11.75 |
Where Mississippi sits
The same service costs 3.4 times more in Wisconsin than in Utah. 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· 8th of 51
$74.13
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.