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 $416.87 Median $891.25 Typical High $1,819.70 | Facility | None | $416.87 | $891.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $891.25 Typical High $891.25 | Professional | None | $354.81 | $891.25 | $891.25 |
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 $776.25 Median $776.25 Typical High $776.25 | Professional | None | $776.25 | $776.25 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $194.98 Typical High $524.81 | Facility | None | $154.88 | $194.98 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $371.54 Median $676.08 Typical High $851.14 | Professional | None | $371.54 | $676.08 | $851.14 |
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 $346.74 Typical High $1,096.48 | Facility | None | $91.20 | $346.74 | $1,096.48 |
United Setting Professional Modifier None Typical Low $478.63 Median $524.81 Typical High $1,047.13 | Professional | None | $478.63 | $524.81 | $1,047.13 |
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 $177.83 Median $446.68 Typical High $446.68 | Professional | 52 · Reduced service | $177.83 | $446.68 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $177.83 Typical High $177.83 | Professional | 53 · Discontinued | $70.79 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $263.03 Median $676.08 Typical High $676.08 | Professional | 54 · Surgery only | $263.03 | $676.08 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $134.90 Typical High $134.90 | Professional | 55 · Aftercare only | $53.70 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $35.48 Median $89.13 Typical High $89.13 | Professional | 56 · Pre-op care only | $35.48 | $89.13 | $89.13 |
Where Mississippi sits
The same service costs 3.2 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· 36th of 51
$562
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.