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 $13.49 Median $758.58 Typical High $1,819.70 | Facility | None | $13.49 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $29.51 Typical High $29.51 | Professional | None | $13.49 | $29.51 | $29.51 |
Ambetter Setting Professional Modifier None Typical Low $11.48 Median $14.45 Typical High $19.05 | Professional | None | $11.48 | $14.45 | $19.05 |
BCBS Mississippi Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
BCBS Mississippi Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $616.60 Typical High $1,122.02 | Facility | None | $50.12 | $616.60 | $1,122.02 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $15.49 Typical High $23.99 | Professional | None | $12.30 | $15.49 | $23.99 |
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 $223.87 Typical High $1,096.48 | Facility | None | $89.13 | $223.87 | $1,096.48 |
United Setting Professional Modifier None Typical Low $10.96 Median $13.18 Typical High $28.18 | Professional | None | $10.96 | $13.18 | $28.18 |
6 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 $6.76 Median $14.79 Typical High $14.79 | Professional | 52 · Reduced service | $6.76 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $5.89 Typical High $5.89 | Professional | 53 · Discontinued | $2.69 | $5.89 | $5.89 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $10.23 Median $21.88 Typical High $21.88 | Professional | 54 · Surgery only | $10.23 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $2.04 Median $4.47 Typical High $4.47 | Professional | 55 · Aftercare only | $2.04 | $4.47 | $4.47 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $1.35 Median $2.95 Typical High $2.95 | Professional | 56 · Pre-op care only | $1.35 | $2.95 | $2.95 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $20.42 Median $21.88 Typical High $30.90 | Professional | 50 · Both sides | $20.42 | $21.88 | $30.90 |
Where Mississippi sits
The same service costs 7.4 times more in Kansas 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· 25th of 51
$22.39
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.