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 $354.81 Median $776.25 Typical High $1,995.26 | Facility | None | $354.81 | $776.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $645.65 Typical High $645.65 | Professional | None | $269.15 | $645.65 | $645.65 |
BCBS Mississippi Setting Facility Modifier None Typical Low $2,344.23 Median $2,344.23 Typical High $2,344.23 | Facility | None | $2,344.23 | $2,344.23 | $2,344.23 |
BCBS Mississippi Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $2,187.76 Typical High $4,466.84 | Facility | None | $660.69 | $2,187.76 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $501.19 Typical High $630.96 | Professional | None | $229.09 | $501.19 | $630.96 |
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 $977.24 Median $1,737.80 Typical High $8,317.64 | Facility | None | $977.24 | $1,737.80 | $8,317.64 |
United Setting Professional Modifier None Typical Low $302.00 Median $398.11 Typical High $831.76 | Professional | None | $302.00 | $398.11 | $831.76 |
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 $134.90 Median $323.59 Typical High $323.59 | Professional | 52 · Reduced service | $134.90 | $323.59 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $131.83 Typical High $131.83 | Professional | 53 · Discontinued | $53.70 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $489.78 Typical High $489.78 | Professional | 54 · Surgery only | $199.53 | $489.78 | $489.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $97.72 Typical High $97.72 | Professional | 55 · Aftercare only | $39.81 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $64.57 Typical High $64.57 | Professional | 56 · Pre-op care only | $26.92 | $64.57 | $64.57 |
Where Mississippi sits
The same service costs 10.0 times more in Oklahoma 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
$646
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.