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 $83.18 Median $83.18 Typical High $138.04 | Facility | None | $83.18 | $83.18 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $93.33 Typical High $138.04 | Professional | None | $83.18 | $93.33 | $138.04 |
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 $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $257.04 | Facility | None | $21.88 | $21.88 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $67.61 | Professional | None | $30.90 | $36.31 | $67.61 |
United Setting Facility Modifier None Typical Low $251.19 Median $371.54 Typical High $524.81 | Facility | None | $251.19 | $371.54 | $524.81 |
United Setting Professional Modifier None Typical Low $29.51 Median $44.67 Typical High $75.86 | Professional | None | $29.51 | $44.67 | $75.86 |
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 $41.69 Median $46.77 Typical High $69.18 | Professional | 52 · Reduced service | $41.69 | $46.77 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $19.05 Typical High $27.54 | Professional | 53 · Discontinued | $16.60 | $19.05 | $27.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $63.10 Median $70.79 Typical High $104.71 | Professional | 54 · Surgery only | $63.10 | $70.79 | $104.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $14.13 Typical High $20.89 | Professional | 55 · Aftercare only | $12.59 | $14.13 | $20.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.32 Median $9.33 Typical High $13.80 | Professional | 56 · Pre-op care only | $8.32 | $9.33 | $13.80 |
Where Mississippi sits
The same service costs 4.5 times more in Alaska than in Ohio. 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· 24th of 51
$79.43
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.