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 $630.96 Median $891.25 Typical High $1,995.26 | Facility | None | $630.96 | $891.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $954.99 Typical High $954.99 | Professional | None | $316.23 | $954.99 | $954.99 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Facility | None | $1,023.29 | $1,023.29 | $1,023.29 |
BCBS Mississippi Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,659.59 Typical High $3,311.31 | Facility | None | $660.69 | $1,659.59 | $3,311.31 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $575.44 Typical High $660.69 | Professional | None | $331.13 | $575.44 | $660.69 |
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 $758.58 Median $1,412.54 Typical High $6,456.54 | Facility | None | $758.58 | $1,412.54 | $6,456.54 |
United Setting Professional Modifier None Typical Low $331.13 Median $436.52 Typical High $851.14 | Professional | None | $331.13 | $436.52 | $851.14 |
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 $158.49 Median $478.63 Typical High $478.63 | Professional | 52 · Reduced service | $158.49 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $190.55 Typical High $190.55 | Professional | 53 · Discontinued | $64.57 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $707.95 Typical High $707.95 | Professional | 54 · Surgery only | $239.88 | $707.95 | $707.95 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $141.25 Typical High $141.25 | Professional | 55 · Aftercare only | $47.86 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $95.50 Typical High $95.50 | Professional | 56 · Pre-op care only | $32.36 | $95.50 | $95.50 |
Where Mississippi sits
The same service costs 4.7 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· 15th of 51
$676
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.