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 $131.83 Median $741.31 Typical High $1,819.70 | Facility | None | $131.83 | $741.31 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $323.59 Typical High $457.09 | Professional | None | $131.83 | $323.59 | $457.09 |
Ambetter Setting Professional Modifier None Typical Low $138.04 Median $141.25 Typical High $181.97 | Professional | None | $138.04 | $141.25 | $181.97 |
BCBS Mississippi Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
BCBS Mississippi Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $186.21 Typical High $524.81 | Facility | None | $147.91 | $186.21 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $239.88 Typical High $354.81 | Professional | None | $158.49 | $239.88 | $354.81 |
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 $302.00 Median $616.60 Typical High $2,884.03 | Facility | None | $302.00 | $616.60 | $2,884.03 |
United Setting Professional Modifier None Typical Low $138.04 Median $186.21 Typical High $407.38 | Professional | None | $138.04 | $186.21 | $407.38 |
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 $66.07 Median $162.18 Typical High $229.09 | Professional | 52 · Reduced service | $66.07 | $162.18 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $64.57 Typical High $91.20 | Professional | 53 · Discontinued | $26.30 | $64.57 | $91.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $100.00 Median $239.88 Typical High $346.74 | Professional | 54 · Surgery only | $100.00 | $239.88 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.95 Median $47.86 Typical High $69.18 | Professional | 55 · Aftercare only | $19.95 | $47.86 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $32.36 Typical High $45.71 | Professional | 56 · Pre-op care only | $13.18 | $32.36 | $45.71 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $93.33 Median $223.87 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $93.33 | $223.87 | $323.59 |
Where Mississippi sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 20th of 51
$257
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.