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 $478.63 Median $891.25 Typical High $1,819.70 | Facility | None | $478.63 | $891.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $1,412.54 Typical High $1,737.80 | Professional | None | $549.54 | $1,412.54 | $1,737.80 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None | $1,778.28 | $1,778.28 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,995.26 Typical High $3,981.07 | Facility | None | $1,122.02 | $1,995.26 | $3,981.07 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $977.24 Typical High $1,174.90 | Professional | None | $645.65 | $977.24 | $1,174.90 |
Molina Setting Professional Modifier None Typical Low $25.12 Median $44.67 Typical High $1,380.38 | Professional | None | $25.12 | $44.67 | $1,380.38 |
United Setting Facility Modifier None Typical Low $954.99 Median $1,737.80 Typical High $6,606.93 | Facility | None | $954.99 | $1,737.80 | $6,606.93 |
United Setting Professional Modifier None Typical Low $275.42 Median $537.03 Typical High $1,122.02 | Professional | None | $275.42 | $537.03 | $1,122.02 |
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 $275.42 Median $707.95 Typical High $870.96 | Professional | 52 · Reduced service | $275.42 | $707.95 | $870.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $281.84 Typical High $346.74 | Professional | 53 · Discontinued | $109.65 | $281.84 | $346.74 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $1,071.52 Typical High $1,318.26 | Professional | 54 · Surgery only | $416.87 | $1,071.52 | $1,318.26 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $213.80 Typical High $263.03 | Professional | 55 · Aftercare only | $83.18 | $213.80 | $263.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $141.25 Typical High $173.78 | Professional | 56 · Pre-op care only | $54.95 | $141.25 | $173.78 |
Where Mississippi sits
The same service costs 10.0 times more in Alaska than in Kentucky. 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· 4th of 51
$977
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.