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 $173.78 Median $758.58 Typical High $1,819.70 | Facility | None | $173.78 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $229.09 Typical High $389.05 | Professional | None | $117.49 | $229.09 | $389.05 |
Ambetter Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
BCBS Mississippi Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
BCBS Mississippi Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $131.83 Typical High $302.00 | Facility | None | $50.12 | $131.83 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $194.98 Typical High $281.84 | Professional | None | $120.23 | $194.98 | $281.84 |
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 $131.83 Median $190.55 Typical High $338.84 | Professional | None | $131.83 | $190.55 | $338.84 |
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 $58.88 Median $131.83 Typical High $194.98 | Professional | 52 · Reduced service | $58.88 | $131.83 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $52.48 Typical High $77.62 | Professional | 53 · Discontinued | $23.44 | $52.48 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $194.98 Typical High $288.40 | Professional | 54 · Surgery only | $87.10 | $194.98 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $38.90 Typical High $57.54 | Professional | 55 · Aftercare only | $17.78 | $38.90 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.75 Median $26.30 Typical High $38.90 | Professional | 56 · Pre-op care only | $11.75 | $26.30 | $38.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $81.28 Median $181.97 Typical High $269.15 | Professional | 78 · Unplanned return to OR | $81.28 | $181.97 | $269.15 |
Where Mississippi sits
The same service costs 3.5 times more in Alaska than in Maryland. 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· 27th 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.