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 $346.74 Median $776.25 Typical High $1,819.70 | Facility | None | $346.74 | $776.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $741.31 Typical High $851.14 | Professional | None | $323.59 | $741.31 | $851.14 |
Ambetter Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None | $213.80 | $213.80 | $213.80 |
BCBS Mississippi Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
BCBS Mississippi Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None | $831.76 | $831.76 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $154.88 Typical High $524.81 | Facility | None | $125.89 | $154.88 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $549.54 Typical High $645.65 | Professional | None | $316.23 | $549.54 | $645.65 |
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 $316.23 Typical High $1,096.48 | Facility | None | $91.20 | $316.23 | $1,096.48 |
United Setting Professional Modifier None Typical Low $316.23 Median $354.81 Typical High $794.33 | Professional | None | $316.23 | $354.81 | $794.33 |
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 $162.18 Median $371.54 Typical High $426.58 | Professional | 52 · Reduced service | $162.18 | $371.54 | $426.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $147.91 Typical High $169.82 | Professional | 53 · Discontinued | $64.57 | $147.91 | $169.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $562.34 Typical High $630.96 | Professional | 54 · Surgery only | $239.88 | $562.34 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $112.20 Typical High $125.89 | Professional | 55 · Aftercare only | $47.86 | $112.20 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $32.36 Median $74.13 Typical High $85.11 | Professional | 56 · Pre-op care only | $32.36 | $74.13 | $85.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $223.87 Median $524.81 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $223.87 | $524.81 | $588.84 |
Where Mississippi sits
The same service costs 5.1 times more in Alaska than in Utah. 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· 25th of 51
$468
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.