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 $48.98 Median $776.25 Typical High $1,995.26 | Facility | None | $48.98 | $776.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $107.15 Typical High $158.49 | Professional | None | $48.98 | $107.15 | $158.49 |
Ambetter Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | None | $66.07 | $66.07 | $66.07 |
BCBS Mississippi Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
BCBS Mississippi Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $89.13 Typical High $338.84 | Facility | None | $50.12 | $89.13 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $83.18 Typical High $190.55 | Professional | None | $54.95 | $83.18 | $190.55 |
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 $91.20 Median $316.23 Typical High $1,096.48 | Facility | None | $91.20 | $316.23 | $1,096.48 |
United Setting Professional Modifier None Typical Low $48.98 Median $95.50 Typical High $204.17 | Professional | None | $48.98 | $95.50 | $204.17 |
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 $24.55 Median $53.70 Typical High $79.43 | Professional | 52 · Reduced service | $24.55 | $53.70 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $21.38 Typical High $31.62 | Professional | 53 · Discontinued | $9.77 | $21.38 | $31.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $36.31 Median $79.43 Typical High $117.49 | Professional | 54 · Surgery only | $36.31 | $79.43 | $117.49 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.41 Median $15.85 Typical High $23.44 | Professional | 55 · Aftercare only | $7.41 | $15.85 | $23.44 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.90 Median $10.72 Typical High $15.85 | Professional | 56 · Pre-op care only | $4.90 | $10.72 | $15.85 |
Where Mississippi sits
The same service costs 3.2 times more in Wisconsin 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· 10th of 51
$126
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.