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 $331.13 Median $851.14 Typical High $1,047.13 | Professional | None | $331.13 | $851.14 | $1,047.13 |
BCBS Mississippi Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $512.86 Typical High $1,737.80 | Facility | None | $380.19 | $512.86 | $1,737.80 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $588.84 Typical High $660.69 | Professional | None | $407.38 | $588.84 | $660.69 |
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 $331.13 Median $389.05 Typical High $851.14 | Professional | None | $331.13 | $389.05 | $851.14 |
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 $165.96 Median $426.58 Typical High $524.81 | Professional | 52 · Reduced service | $165.96 | $426.58 | $524.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $169.82 Typical High $208.93 | Professional | 53 · Discontinued | $66.07 | $169.82 | $208.93 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $645.65 Typical High $794.33 | Professional | 54 · Surgery only | $251.19 | $645.65 | $794.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $128.82 Typical High $158.49 | Professional | 55 · Aftercare only | $50.12 | $128.82 | $158.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $85.11 Typical High $104.71 | Professional | 56 · Pre-op care only | $33.11 | $85.11 | $104.71 |
Where Mississippi sits
The same service costs 4.9 times more in Alaska than in Utah. 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· 13th of 51
$575
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.