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 $72.44 Median $776.25 Typical High $1,995.26 | Facility | None | $72.44 | $776.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $173.78 Typical High $223.87 | Professional | None | $72.44 | $173.78 | $223.87 |
Ambetter Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
BCBS Mississippi Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
BCBS Mississippi Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None | $275.42 | $275.42 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $70.79 Typical High $524.81 | Facility | None | $57.54 | $70.79 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $95.50 Median $154.88 Typical High $223.87 | Professional | None | $95.50 | $154.88 | $223.87 |
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 $75.86 Median $114.82 Typical High $245.47 | Professional | None | $75.86 | $114.82 | $245.47 |
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 $35.48 Median $87.10 Typical High $112.20 | Professional | 52 · Reduced service | $35.48 | $87.10 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $34.67 Typical High $44.67 | Professional | 53 · Discontinued | $14.45 | $34.67 | $44.67 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $53.70 Median $128.82 Typical High $165.96 | Professional | 54 · Surgery only | $53.70 | $128.82 | $165.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $25.70 Typical High $33.11 | Professional | 55 · Aftercare only | $10.72 | $25.70 | $33.11 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $7.08 Median $17.38 Typical High $22.39 | Professional | 56 · Pre-op care only | $7.08 | $17.38 | $22.39 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $50.12 Median $120.23 Typical High $154.88 | Professional | 78 · Unplanned return to OR | $50.12 | $120.23 | $154.88 |
Where Mississippi sits
The same service costs 3.9 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· 12th of 51
$151
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.