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 $524.81 Median $776.25 Typical High $1,819.70 | Facility | None | $524.81 | $776.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $426.58 Typical High $524.81 | Professional | None | $165.96 | $426.58 | $524.81 |
BCBS Mississippi Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $676.08 Typical High $1,737.80 | Facility | None | $512.86 | $676.08 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $263.03 Typical High $331.13 | Professional | None | $204.17 | $263.03 | $331.13 |
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 $89.13 Median $295.12 Typical High $1,096.48 | Facility | None | $89.13 | $295.12 | $1,096.48 |
United Setting Professional Modifier None Typical Low $147.91 Median $190.55 Typical High $416.87 | Professional | None | $147.91 | $190.55 | $416.87 |
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 $83.18 Median $213.80 Typical High $263.03 | Professional | 52 · Reduced service | $83.18 | $213.80 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $85.11 Typical High $104.71 | Professional | 53 · Discontinued | $33.11 | $85.11 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $316.23 Typical High $389.05 | Professional | 54 · Surgery only | $123.03 | $316.23 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $63.10 Typical High $77.62 | Professional | 55 · Aftercare only | $24.55 | $63.10 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $42.66 Typical High $52.48 | Professional | 56 · Pre-op care only | $16.60 | $42.66 | $52.48 |
Where Mississippi sits
The same service costs 4.5 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· 16th of 51
$275
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.