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 $141.25 Median $549.54 Typical High $1,819.70 | Facility | None | $141.25 | $549.54 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $239.88 Typical High $416.87 | Professional | None | $141.25 | $239.88 | $416.87 |
Ambetter Setting Professional Modifier None Typical Low $125.89 Median $158.49 Typical High $234.42 | Professional | None | $125.89 | $158.49 | $234.42 |
BCBS Mississippi Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
BCBS Mississippi Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None | $316.23 | $316.23 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $707.95 Typical High $1,445.44 | Facility | None | $436.52 | $707.95 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $213.80 Typical High $302.00 | Professional | None | $141.25 | $213.80 | $302.00 |
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 $467.74 Median $758.58 Typical High $3,090.30 | Facility | None | $467.74 | $758.58 | $3,090.30 |
United Setting Professional Modifier None Typical Low $147.91 Median $199.53 Typical High $380.19 | Professional | None | $147.91 | $199.53 | $380.19 |
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 $70.79 Median $154.88 Typical High $204.17 | Professional | 52 · Reduced service | $70.79 | $154.88 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $61.66 Typical High $83.18 | Professional | 53 · Discontinued | $28.18 | $61.66 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $104.71 Median $234.42 Typical High $309.03 | Professional | 54 · Surgery only | $104.71 | $234.42 | $309.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $46.77 Typical High $61.66 | Professional | 55 · Aftercare only | $20.89 | $46.77 | $61.66 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.13 Median $30.90 Typical High $41.69 | Professional | 56 · Pre-op care only | $14.13 | $30.90 | $41.69 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $97.72 Median $218.78 Typical High $288.40 | Professional | 78 · Unplanned return to OR | $97.72 | $218.78 | $288.40 |
Where Mississippi sits
The same service costs 4.6 times more in Alaska than in Kentucky. 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· 18th of 51
$282
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.