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 $524.81 Median $1,348.96 Typical High $1,659.59 | Professional | None | $524.81 | $1,348.96 | $1,659.59 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
BCBS Mississippi Setting Professional Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Professional | None | $2,570.40 | $2,570.40 | $2,570.40 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $1,445.44 Typical High $2,630.27 | Facility | None | $676.08 | $1,445.44 | $2,630.27 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $676.08 Typical High $1,348.96 | Professional | None | $512.86 | $676.08 | $1,348.96 |
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 $467.74 Median $758.58 Typical High $3,388.44 | Facility | None | $467.74 | $758.58 | $3,388.44 |
United Setting Professional Modifier None Typical Low $389.05 Median $776.25 Typical High $2,398.83 | Professional | None | $389.05 | $776.25 | $2,398.83 |
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 $263.03 Median $676.08 Typical High $831.76 | Professional | 52 · Reduced service | $263.03 | $676.08 | $831.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $269.15 Typical High $338.84 | Professional | 53 · Discontinued | $104.71 | $269.15 | $338.84 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $1,023.29 Typical High $1,258.93 | Professional | 54 · Surgery only | $398.11 | $1,023.29 | $1,258.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $204.17 Typical High $251.19 | Professional | 55 · Aftercare only | $79.43 | $204.17 | $251.19 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $134.90 Typical High $165.96 | Professional | 56 · Pre-op care only | $52.48 | $134.90 | $165.96 |
Where Mississippi sits
The same service costs 4.5 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· 18th of 51
$871
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.