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 $229.09 Median $758.58 Typical High $1,819.70 | Facility | None | $229.09 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $288.40 Typical High $512.86 | Professional | None | $165.96 | $288.40 | $512.86 |
Ambetter Setting Professional Modifier None Typical Low $112.20 Median $141.25 Typical High $281.84 | Professional | None | $112.20 | $141.25 | $281.84 |
BCBS Mississippi Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
BCBS Mississippi Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $199.53 Typical High $524.81 | Facility | None | $162.18 | $199.53 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $263.03 Typical High $389.05 | Professional | None | $165.96 | $263.03 | $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 $1,737.80 | Facility | None | $302.00 | $616.60 | $1,737.80 |
United Setting Professional Modifier None Typical Low $181.97 Median $257.04 Typical High $467.74 | Professional | None | $181.97 | $257.04 | $467.74 |
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 $81.28 Median $181.97 Typical High $257.04 | Professional | 52 · Reduced service | $81.28 | $181.97 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $72.44 Typical High $102.33 | Professional | 53 · Discontinued | $33.11 | $72.44 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $123.03 Median $275.42 Typical High $389.05 | Professional | 54 · Surgery only | $123.03 | $275.42 | $389.05 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $54.95 Typical High $77.62 | Professional | 55 · Aftercare only | $24.55 | $54.95 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.60 Median $36.31 Typical High $51.29 | Professional | 56 · Pre-op care only | $16.60 | $36.31 | $51.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $114.82 Median $257.04 Typical High $363.08 | Professional | 78 · Unplanned return to OR | $114.82 | $257.04 | $363.08 |
Where Mississippi sits
The same service costs 3.6 times more in Alaska than in Texas. 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· 26th 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.