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 $562.34 Median $776.25 Typical High $1,819.70 | Facility | None | $562.34 | $776.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $562.34 Median $954.99 Typical High $1,445.44 | Professional | None | $562.34 | $954.99 | $1,445.44 |
Ambetter Setting Professional Modifier None Typical Low $602.56 Median $645.65 Typical High $794.33 | Professional | None | $602.56 | $645.65 | $794.33 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None | $1,174.90 | $1,174.90 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,148.15 Typical High $2,187.76 | Facility | None | $660.69 | $1,148.15 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $912.01 Typical High $1,071.52 | Professional | None | $512.86 | $912.01 | $1,071.52 |
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 $3,548.13 | Facility | None | $467.74 | $758.58 | $3,548.13 |
United Setting Professional Modifier None Typical Low $616.60 Median $741.31 Typical High $1,412.54 | Professional | None | $616.60 | $741.31 | $1,412.54 |
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 $281.84 Median $549.54 Typical High $724.44 | Professional | 52 · Reduced service | $281.84 | $549.54 | $724.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $112.20 Median $218.78 Typical High $288.40 | Professional | 53 · Discontinued | $112.20 | $218.78 | $288.40 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $426.58 Median $831.76 Typical High $1,071.52 | Professional | 54 · Surgery only | $426.58 | $831.76 | $1,071.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $165.96 Typical High $213.80 | Professional | 55 · Aftercare only | $85.11 | $165.96 | $213.80 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $56.23 Median $109.65 Typical High $144.54 | Professional | 56 · Pre-op care only | $56.23 | $109.65 | $144.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $398.11 Median $776.25 Typical High $1,000.00 | Professional | 78 · Unplanned return to OR | $398.11 | $776.25 | $1,000.00 |
Where Mississippi sits
The same service costs 4.6 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· 21st of 51
$912
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.