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 $281.84 Median $758.58 Typical High $1,819.70 | Facility | None | $281.84 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $436.52 Typical High $616.60 | Professional | None | $204.17 | $436.52 | $616.60 |
Ambetter Setting Professional Modifier None Typical Low $302.00 Median $346.74 Typical High $346.74 | Professional | None | $302.00 | $346.74 | $346.74 |
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 $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $758.58 Typical High $1,445.44 | Facility | None | $630.96 | $758.58 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $194.98 Median $323.59 Typical High $467.74 | Professional | None | $194.98 | $323.59 | $467.74 |
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 $223.87 Median $309.03 Typical High $562.34 | Professional | None | $223.87 | $309.03 | $562.34 |
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 $102.33 Median $223.87 Typical High $309.03 | Professional | 52 · Reduced service | $102.33 | $223.87 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $89.13 Typical High $123.03 | Professional | 53 · Discontinued | $40.74 | $89.13 | $123.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $151.36 Median $338.84 Typical High $467.74 | Professional | 54 · Surgery only | $151.36 | $338.84 | $467.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $67.61 Typical High $93.33 | Professional | 55 · Aftercare only | $30.20 | $67.61 | $93.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $44.67 Typical High $61.66 | Professional | 56 · Pre-op care only | $20.42 | $44.67 | $61.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $141.25 Median $316.23 Typical High $436.52 | Professional | 78 · Unplanned return to OR | $141.25 | $316.23 | $436.52 |
Where Mississippi sits
The same service costs 4.0 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· 17th of 51
$437
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.