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 $489.78 Median $776.25 Typical High $1,819.70 | Facility | None | $489.78 | $776.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $489.78 Typical High $489.78 | Professional | None | $165.96 | $489.78 | $489.78 |
BCBS Mississippi Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $5,128.61 | Facility | None | $4,265.80 | $4,265.80 | $5,128.61 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,862.09 | Professional | None | $1,862.09 | $1,862.09 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,659.59 Typical High $2,630.27 | Facility | None | $660.69 | $1,659.59 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $281.84 Typical High $436.52 | Professional | None | $169.82 | $281.84 | $436.52 |
Molina Setting Professional Modifier None Typical Low $21.38 Median $42.66 Typical High $50.12 | Professional | None | $21.38 | $42.66 | $50.12 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,412.54 Typical High $6,606.93 | Facility | None | $758.58 | $1,412.54 | $6,606.93 |
United Setting Professional Modifier None Typical Low $602.56 Median $794.33 Typical High $1,548.82 | Professional | None | $602.56 | $794.33 | $1,548.82 |
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 $83.18 Median $245.47 Typical High $245.47 | Professional | 52 · Reduced service | $83.18 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $97.72 Typical High $97.72 | Professional | 53 · Discontinued | $33.11 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $371.54 Typical High $371.54 | Professional | 54 · Surgery only | $123.03 | $371.54 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $74.13 Typical High $74.13 | Professional | 55 · Aftercare only | $25.12 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $48.98 Typical High $48.98 | Professional | 56 · Pre-op care only | $16.60 | $48.98 | $48.98 |
Where Mississippi sits
The same service costs 53.7 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· 24th of 51
$912
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.