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 $302.00 Median $891.25 Typical High $1,995.26 | Facility | None | $302.00 | $891.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $389.05 Typical High $436.52 | Professional | None | $245.47 | $389.05 | $436.52 |
BCBS Mississippi Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $489.78 | Facility | None | $446.68 | $446.68 | $489.78 |
BCBS Mississippi Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None | $436.52 | $436.52 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $3,467.37 Typical High $5,495.41 | Facility | None | $660.69 | $3,467.37 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
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 $1,380.38 Median $3,311.31 Typical High $13,182.57 | Facility | None | $1,380.38 | $3,311.31 | $13,182.57 |
United Setting Professional Modifier None Typical Low $338.84 Median $426.58 Typical High $630.96 | Professional | None | $338.84 | $426.58 | $630.96 |
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 $123.03 Median $190.55 Typical High $218.78 | Professional | 52 · Reduced service | $123.03 | $190.55 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $75.86 Typical High $87.10 | Professional | 53 · Discontinued | $48.98 | $75.86 | $87.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $186.21 Median $281.84 Typical High $323.59 | Professional | 54 · Surgery only | $186.21 | $281.84 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $56.23 Typical High $64.57 | Professional | 55 · Aftercare only | $37.15 | $56.23 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $24.55 Median $38.02 Typical High $43.65 | Professional | 56 · Pre-op care only | $24.55 | $38.02 | $43.65 |
Where Mississippi sits
The same service costs 4.5 times more in Alaska than in New York. 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· 30th of 51
$437
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.