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 $138.04 Median $758.58 Typical High $1,819.70 | Facility | None | $138.04 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $302.00 Typical High $302.00 | Professional | None | $120.23 | $302.00 | $302.00 |
BCBS Mississippi Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
BCBS Mississippi Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $177.83 Typical High $446.68 | Facility | None | $154.88 | $177.83 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $234.42 Typical High $295.12 | Professional | None | $162.18 | $234.42 | $295.12 |
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 $91.20 Median $338.84 Typical High $1,000.00 | Facility | None | $91.20 | $338.84 | $1,000.00 |
United Setting Professional Modifier None Typical Low $165.96 Median $190.55 Typical High $371.54 | Professional | None | $165.96 | $190.55 | $371.54 |
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 $60.26 Median $151.36 Typical High $151.36 | Professional | 52 · Reduced service | $60.26 | $151.36 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $61.66 Typical High $61.66 | Professional | 53 · Discontinued | $23.99 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $91.20 Median $229.09 Typical High $229.09 | Professional | 54 · Surgery only | $91.20 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.20 Median $45.71 Typical High $45.71 | Professional | 55 · Aftercare only | $18.20 | $45.71 | $45.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $30.20 Typical High $30.20 | Professional | 56 · Pre-op care only | $12.02 | $30.20 | $30.20 |
Where Mississippi sits
The same service costs 3.2 times more in Alaska than in Texas. 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· 21st of 51
$251
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.