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 $87.10 Median $758.58 Typical High $1,819.70 | Facility | None | $87.10 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $144.54 Typical High $257.04 | Professional | None | $48.98 | $144.54 | $257.04 |
Ambetter Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $194.98 | Professional | None | $58.88 | $58.88 | $194.98 |
BCBS Mississippi Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
BCBS Mississippi Setting Professional Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None | $154.88 | $154.88 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $79.43 Typical High $524.81 | Facility | None | $63.10 | $79.43 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $95.50 Typical High $181.97 | Professional | None | $60.26 | $95.50 | $181.97 |
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 $50.12 Median $91.20 Typical High $204.17 | Professional | None | $50.12 | $91.20 | $204.17 |
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 $24.55 Median $72.44 Typical High $128.82 | Professional | 52 · Reduced service | $24.55 | $72.44 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $28.84 Typical High $51.29 | Professional | 53 · Discontinued | $9.77 | $28.84 | $51.29 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $36.31 Median $107.15 Typical High $194.98 | Professional | 54 · Surgery only | $36.31 | $107.15 | $194.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.24 Median $21.38 Typical High $38.90 | Professional | 55 · Aftercare only | $7.24 | $21.38 | $38.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $14.45 Typical High $25.70 | Professional | 56 · Pre-op care only | $4.90 | $14.45 | $25.70 |
Where Mississippi sits
The same service costs 2.8 times more in Wisconsin than in Kentucky. 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· 16th of 51
$126
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.