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 $144.54 Median $549.54 Typical High $1,819.70 | Facility | None | $144.54 | $549.54 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $316.23 Typical High $512.86 | Professional | None | $144.54 | $316.23 | $512.86 |
Ambetter Setting Professional Modifier None Typical Low $77.62 Median $162.18 Typical High $173.78 | Professional | None | $77.62 | $162.18 | $173.78 |
BCBS Mississippi Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
BCBS Mississippi Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None | $354.81 | $354.81 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $199.53 Typical High $380.19 | Facility | None | $50.12 | $199.53 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $257.04 Typical High $380.19 | Professional | None | $169.82 | $257.04 | $380.19 |
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 $363.08 Typical High $1,148.15 | Facility | None | $91.20 | $363.08 | $1,148.15 |
United Setting Professional Modifier None Typical Low $158.49 Median $239.88 Typical High $416.87 | Professional | None | $158.49 | $239.88 | $416.87 |
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 $72.44 Median $158.49 Typical High $257.04 | Professional | 52 · Reduced service | $72.44 | $158.49 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $63.10 Typical High $102.33 | Professional | 53 · Discontinued | $28.84 | $63.10 | $102.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $107.15 Median $239.88 Typical High $380.19 | Professional | 54 · Surgery only | $107.15 | $239.88 | $380.19 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $47.86 Typical High $77.62 | Professional | 55 · Aftercare only | $21.38 | $47.86 | $77.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $31.62 Typical High $51.29 | Professional | 56 · Pre-op care only | $14.45 | $31.62 | $51.29 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $100.00 Median $223.87 Typical High $354.81 | Professional | 78 · Unplanned return to OR | $100.00 | $223.87 | $354.81 |
Where Mississippi sits
The same service costs 3.4 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· 31st of 51
$263
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.