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 $239.88 Median $758.58 Typical High $1,819.70 | Facility | None | $239.88 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $194.98 Median $331.13 Typical High $524.81 | Professional | None | $194.98 | $331.13 | $524.81 |
Ambetter Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None | $117.49 | $117.49 | $117.49 |
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 $436.52 Median $436.52 Typical High $436.52 | Professional | None | $436.52 | $436.52 | $436.52 |
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 $186.21 Median $302.00 Typical High $389.05 | Professional | None | $186.21 | $302.00 | $389.05 |
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 $2,884.03 | Facility | None | $302.00 | $616.60 | $2,884.03 |
United Setting Professional Modifier None Typical Low $213.80 Median $263.03 Typical High $512.86 | Professional | None | $213.80 | $263.03 | $512.86 |
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 $97.72 Median $204.17 Typical High $263.03 | Professional | 52 · Reduced service | $97.72 | $204.17 | $263.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $81.28 Typical High $104.71 | Professional | 53 · Discontinued | $38.90 | $81.28 | $104.71 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $144.54 Median $302.00 Typical High $398.11 | Professional | 54 · Surgery only | $144.54 | $302.00 | $398.11 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $60.26 Typical High $79.43 | Professional | 55 · Aftercare only | $28.84 | $60.26 | $79.43 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.50 Median $40.74 Typical High $52.48 | Professional | 56 · Pre-op care only | $19.50 | $40.74 | $52.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $134.90 Median $281.84 Typical High $371.54 | Professional | 78 · Unplanned return to OR | $134.90 | $281.84 | $371.54 |
Where Mississippi sits
The same service costs 3.9 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
$363
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.