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 $2,041.74 Median $2,041.74 Typical High $2,041.74 | Facility | None | $2,041.74 | $2,041.74 | $2,041.74 |
Aetna Setting Professional Modifier None Typical Low $1,122.02 Median $2,041.74 Typical High $2,041.74 | Professional | None | $1,122.02 | $2,041.74 | $2,041.74 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Facility | None | $1,584.89 | $1,584.89 | $1,584.89 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None | $1,584.89 | $1,584.89 | $1,584.89 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $954.99 Median $954.99 Typical High $1,318.26 | Professional | None | $954.99 | $954.99 | $1,318.26 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $1,659.59 | Professional | None | $30.20 | $30.20 | $1,659.59 |
United Setting Facility Modifier None Typical Low $1,000.00 Median $2,454.71 Typical High $2,951.21 | Facility | None | $1,000.00 | $2,454.71 | $2,951.21 |
United Setting Professional Modifier None Typical Low $676.08 Median $954.99 Typical High $1,380.38 | Professional | None | $676.08 | $954.99 | $1,380.38 |
4 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 $562.34 Median $1,023.29 Typical High $1,023.29 | Professional | 52 · Reduced service | $562.34 | $1,023.29 | $1,023.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $223.87 Median $407.38 Typical High $407.38 | Professional | 53 · Discontinued | $223.87 | $407.38 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $309.03 Typical High $309.03 | Professional | 55 · Aftercare only | $165.96 | $309.03 | $309.03 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $112.20 Median $204.17 Typical High $204.17 | Professional | 56 · Pre-op care only | $112.20 | $204.17 | $204.17 |
Where Mississippi sits
The same service costs 3.0 times more in Kansas than in Delaware. 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· 21st of 51
$1,413
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.