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 $147.91 Median $758.58 Typical High $1,819.70 | Facility | None | $147.91 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $186.21 Typical High $323.59 | Professional | None | $95.50 | $186.21 | $323.59 |
Ambetter Setting Professional Modifier None Typical Low $109.65 Median $128.82 Typical High $181.97 | Professional | None | $109.65 | $128.82 | $181.97 |
BCBS Mississippi Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
BCBS Mississippi Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $117.49 Typical High $524.81 | Facility | None | $95.50 | $117.49 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $102.33 Median $199.53 Typical High $331.13 | Professional | None | $102.33 | $199.53 | $331.13 |
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 $91.20 Median $338.84 Typical High $1,071.52 | Facility | None | $91.20 | $338.84 | $1,071.52 |
United Setting Professional Modifier None Typical Low $97.72 Median $177.83 Typical High $302.00 | Professional | None | $97.72 | $177.83 | $302.00 |
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 $47.86 Median $107.15 Typical High $162.18 | Professional | 52 · Reduced service | $47.86 | $107.15 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $42.66 Typical High $64.57 | Professional | 53 · Discontinued | $19.50 | $42.66 | $64.57 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $72.44 Median $158.49 Typical High $245.47 | Professional | 54 · Surgery only | $72.44 | $158.49 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.45 Median $31.62 Typical High $48.98 | Professional | 55 · Aftercare only | $14.45 | $31.62 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.55 Median $21.38 Typical High $32.36 | Professional | 56 · Pre-op care only | $9.55 | $21.38 | $32.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $67.61 Median $147.91 Typical High $229.09 | Professional | 78 · Unplanned return to OR | $67.61 | $147.91 | $229.09 |
Where Mississippi sits
The same service costs 3.2 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· 17th of 51
$204
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.