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 $194.98 Median $776.25 Typical High $1,819.70 | Facility | None | $194.98 | $776.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $194.98 Typical High $194.98 | Professional | None | $75.86 | $194.98 | $194.98 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
BCBS Mississippi Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $1,174.90 Typical High $2,398.83 | Facility | None | $436.52 | $1,174.90 | $2,398.83 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $125.89 Typical High $162.18 | Professional | None | $70.79 | $125.89 | $162.18 |
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 $467.74 Median $758.58 Typical High $4,897.79 | Facility | None | $467.74 | $758.58 | $4,897.79 |
United Setting Professional Modifier None Typical Low $70.79 Median $79.43 Typical High $162.18 | Professional | None | $70.79 | $79.43 | $162.18 |
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 $38.02 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $38.02 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $15.14 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $57.54 Median $144.54 Typical High $144.54 | Professional | 54 · Surgery only | $57.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $29.51 Typical High $29.51 | Professional | 55 · Aftercare only | $11.48 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.59 Median $19.50 Typical High $19.50 | Professional | 56 · Pre-op care only | $7.59 | $19.50 | $19.50 |
Where Mississippi sits
The same service costs 11.2 times more in Tennessee 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· 16th of 51
$148
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.