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 $154.88 Median $776.25 Typical High $1,819.70 | Facility | None | $154.88 | $776.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $154.88 Typical High $154.88 | Professional | None | $52.48 | $154.88 | $154.88 |
BCBS Mississippi Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $446.68 | Facility | None | $371.54 | $371.54 | $446.68 |
BCBS Mississippi Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None | $141.25 | $141.25 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $158.49 Typical High $758.58 | Facility | None | $128.82 | $158.49 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $43.65 Typical High $151.36 | Professional | None | $28.18 | $43.65 | $151.36 |
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 $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 $20.42 Median $27.54 Typical High $53.70 | Professional | None | $20.42 | $27.54 | $53.70 |
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 $26.30 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $26.30 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $10.47 | $30.90 | $30.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $39.81 Median $117.49 Typical High $117.49 | Professional | 54 · Surgery only | $39.81 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $23.44 Typical High $23.44 | Professional | 55 · Aftercare only | $7.94 | $23.44 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.25 Median $15.49 Typical High $15.49 | Professional | 56 · Pre-op care only | $5.25 | $15.49 | $15.49 |
Where Mississippi sits
The same service costs 9.1 times more in Tennessee than in Maine. 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
$151
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.