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 $302.00 Median $776.25 Typical High $1,819.70 | Facility | None | $302.00 | $776.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $257.04 Typical High $302.00 | Professional | None | $123.03 | $257.04 | $302.00 |
BCBS Mississippi Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
BCBS Mississippi Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $512.86 Typical High $977.24 | Facility | None | $436.52 | $512.86 | $977.24 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $194.98 Typical High $316.23 | Professional | None | $131.83 | $194.98 | $316.23 |
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 $302.00 Median $616.60 Typical High $1,819.70 | Facility | None | $302.00 | $616.60 | $1,819.70 |
United Setting Professional Modifier None Typical Low $131.83 Median $144.54 Typical High $295.12 | Professional | None | $131.83 | $144.54 | $295.12 |
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 $61.66 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $61.66 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $60.26 Typical High $60.26 | Professional | 53 · Discontinued | $24.55 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $223.87 Typical High $223.87 | Professional | 54 · Surgery only | $93.33 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $44.67 Typical High $44.67 | Professional | 55 · Aftercare only | $18.62 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $30.20 Typical High $30.20 | Professional | 56 · Pre-op care only | $12.30 | $30.20 | $30.20 |
Where Mississippi sits
The same service costs 4.3 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
$257
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.