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 $177.83 Median $549.54 Typical High $1,819.70 | Facility | None | $177.83 | $549.54 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $331.13 Typical High $549.54 | Professional | None | $177.83 | $331.13 | $549.54 |
BCBS Mississippi Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
BCBS Mississippi Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $186.21 Typical High $354.81 | Facility | None | $50.12 | $186.21 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $281.84 Typical High $407.38 | Professional | None | $173.78 | $281.84 | $407.38 |
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 $199.53 Median $275.42 Typical High $501.19 | Professional | None | $199.53 | $275.42 | $501.19 |
7 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 $89.13 Median $199.53 Typical High $275.42 | Professional | 52 · Reduced service | $89.13 | $199.53 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $79.43 Typical High $109.65 | Professional | 53 · Discontinued | $35.48 | $79.43 | $109.65 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $295.12 Typical High $407.38 | Professional | 54 · Surgery only | $134.90 | $295.12 | $407.38 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $58.88 Typical High $81.28 | Professional | 55 · Aftercare only | $26.92 | $58.88 | $81.28 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $39.81 Typical High $54.95 | Professional | 56 · Pre-op care only | $17.78 | $39.81 | $54.95 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $125.89 Median $275.42 Typical High $380.19 | Professional | 78 · Unplanned return to OR | $125.89 | $275.42 | $380.19 |
Ambetter Setting Professional Modifier 79 · Unrelated procedure after surgery Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 79 · Unrelated procedure after surgery | $295.12 | $295.12 | $295.12 |
Where Mississippi sits
The same service costs 3.9 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· 23rd of 51
$316
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.