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 $229.09 Median $891.25 Typical High $2,290.87 | Facility | None | $229.09 | $891.25 | $2,290.87 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $501.19 Typical High $5,011.87 | Professional | None | $229.09 | $501.19 | $5,011.87 |
Ambetter Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $269.15 | Professional | None | $112.20 | $112.20 | $269.15 |
BCBS Mississippi Setting Facility Modifier None Typical Low $7,762.47 Median $7,762.47 Typical High $10,471.29 | Facility | None | $7,762.47 | $7,762.47 | $10,471.29 |
BCBS Mississippi Setting Professional Modifier None Typical Low $5,370.32 Median $5,370.32 Typical High $5,370.32 | Professional | None | $5,370.32 | $5,370.32 | $5,370.32 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $4,073.80 Typical High $6,456.54 | Facility | None | $660.69 | $4,073.80 | $6,456.54 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $1,995.26 Typical High $4,677.35 | Professional | None | $257.04 | $1,995.26 | $4,677.35 |
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 $1,148.15 Median $2,511.89 Typical High $10,715.19 | Facility | None | $1,148.15 | $2,511.89 | $10,715.19 |
United Setting Professional Modifier None Typical Low $234.42 Median $2,884.03 Typical High $6,165.95 | Professional | None | $234.42 | $2,884.03 | $6,165.95 |
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 $114.82 Median $251.19 Typical High $2,511.89 | Professional | 52 · Reduced service | $114.82 | $251.19 | $2,511.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $100.00 Typical High $1,000.00 | Professional | 53 · Discontinued | $45.71 | $100.00 | $1,000.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $173.78 Median $371.54 Typical High $3,801.89 | Professional | 54 · Surgery only | $173.78 | $371.54 | $3,801.89 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $75.86 Typical High $758.58 | Professional | 55 · Aftercare only | $34.67 | $75.86 | $758.58 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $22.91 Median $50.12 Typical High $501.19 | Professional | 56 · Pre-op care only | $22.91 | $50.12 | $501.19 |
Where Mississippi sits
The same service costs 11.2 times more in Alaska than in Nebraska. 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· 22nd of 51
$2,884
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.