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 $758.58 Median $1,318.26 Typical High $4,365.16 | Facility | None | $758.58 | $1,318.26 | $4,365.16 |
Aetna Setting Professional Modifier None Typical Low $4,365.16 Median $11,220.18 Typical High $11,220.18 | Professional | None | $4,365.16 | $11,220.18 | $11,220.18 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
BCBS Mississippi Setting Professional Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | None | $3,548.13 | $3,548.13 | $3,548.13 |
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 $3,019.95 Median $4,786.30 Typical High $6,606.93 | Professional | None | $3,019.95 | $4,786.30 | $6,606.93 |
Molina Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $50.12 | Professional | None | $21.38 | $25.12 | $50.12 |
United Setting Facility Modifier None Typical Low $331.13 Median $851.14 Typical High $6,165.95 | Facility | None | $331.13 | $851.14 | $6,165.95 |
United Setting Professional Modifier None Typical Low $3,630.78 Median $4,168.69 Typical High $9,772.37 | Professional | None | $3,630.78 | $4,168.69 | $9,772.37 |
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 $2,187.76 Median $5,623.41 Typical High $5,623.41 | Professional | 52 · Reduced service | $2,187.76 | $5,623.41 | $5,623.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $870.96 Median $2,238.72 Typical High $2,238.72 | Professional | 53 · Discontinued | $870.96 | $2,238.72 | $2,238.72 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $3,311.31 Median $8,317.64 Typical High $8,317.64 | Professional | 54 · Surgery only | $3,311.31 | $8,317.64 | $8,317.64 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $660.69 Median $1,659.59 Typical High $1,659.59 | Professional | 55 · Aftercare only | $660.69 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $436.52 Median $1,122.02 Typical High $1,122.02 | Professional | 56 · Pre-op care only | $436.52 | $1,122.02 | $1,122.02 |
Where Mississippi sits
The same service costs 4.4 times more in Alaska than in Arkansas. 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· 44th of 51
$3,548
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.