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 $524.81 Median $524.81 Typical High $812.83 | Facility | None | $524.81 | $524.81 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $630.96 Typical High $812.83 | Professional | None | $524.81 | $630.96 | $812.83 |
Ambetter Setting Professional Modifier None Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | None | $977.24 | $977.24 | $977.24 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Facility | None | $1,122.02 | $1,122.02 | $1,122.02 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None | $1,000.00 | $1,000.00 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $954.99 | Facility | None | $812.83 | $812.83 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $812.83 | Professional | None | $588.84 | $588.84 | $812.83 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $741.31 | Professional | None | $30.20 | $30.20 | $741.31 |
United Setting Facility Modifier None Typical Low $1,230.27 Median $1,445.44 Typical High $1,737.80 | Facility | None | $1,230.27 | $1,445.44 | $1,737.80 |
United Setting Professional Modifier None Typical Low $489.78 Median $776.25 Typical High $1,000.00 | Professional | None | $489.78 | $776.25 | $1,000.00 |
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 $263.03 Median $316.23 Typical High $407.38 | Professional | 52 · Reduced service | $263.03 | $316.23 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $125.89 Typical High $162.18 | Professional | 53 · Discontinued | $107.15 | $125.89 | $162.18 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $93.33 Typical High $123.03 | Professional | 55 · Aftercare only | $79.43 | $93.33 | $123.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $63.10 Typical High $81.28 | Professional | 56 · Pre-op care only | $52.48 | $63.10 | $81.28 |
Ambetter Setting Professional Modifier CG · Policy criteria applied Typical Low $977.24 Median $977.24 Typical High $977.24 | Professional | CG · Policy criteria applied | $977.24 | $977.24 | $977.24 |
Cigna Setting Professional Modifier RR · Rental Typical Low $69.18 Median $69.18 Typical High $81.28 | Professional | RR · Rental | $69.18 | $69.18 | $81.28 |
Where Mississippi sits
The same service costs 2.6 times more in Hawaii than in Utah. 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· 16th of 51
$832
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.