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 $93.33 Median $741.31 Typical High $1,819.70 | Facility | None | $93.33 | $741.31 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $204.17 Typical High $295.12 | Professional | None | $93.33 | $204.17 | $295.12 |
Ambetter Setting Professional Modifier None Typical Low $81.28 Median $128.82 Typical High $162.18 | Professional | None | $81.28 | $128.82 | $162.18 |
BCBS Mississippi Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
BCBS Mississippi Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None | $223.87 | $223.87 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $123.03 Typical High $524.81 | Facility | None | $100.00 | $123.03 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $147.91 Typical High $213.80 | Professional | None | $95.50 | $147.91 | $213.80 |
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 $302.00 Median $616.60 Typical High $1,737.80 | Facility | None | $302.00 | $616.60 | $1,737.80 |
United Setting Professional Modifier None Typical Low $102.33 Median $144.54 Typical High $263.03 | Professional | None | $102.33 | $144.54 | $263.03 |
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 $46.77 Median $102.33 Typical High $144.54 | Professional | 52 · Reduced service | $46.77 | $102.33 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $41.69 Typical High $58.88 | Professional | 53 · Discontinued | $18.62 | $41.69 | $58.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $69.18 Median $154.88 Typical High $218.78 | Professional | 54 · Surgery only | $69.18 | $154.88 | $218.78 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $30.90 Typical High $43.65 | Professional | 55 · Aftercare only | $13.80 | $30.90 | $43.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $20.42 Typical High $29.51 | Professional | 56 · Pre-op care only | $9.33 | $20.42 | $29.51 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $64.57 Median $144.54 Typical High $204.17 | Professional | 78 · Unplanned return to OR | $64.57 | $144.54 | $204.17 |
Where Mississippi sits
The same service costs 3.5 times more in Alaska than in Florida. 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
$182
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.