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 $281.84 Median $758.58 Typical High $1,819.70 | Facility | None | $281.84 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $602.56 Typical High $676.08 | Professional | None | $263.03 | $602.56 | $676.08 |
Ambetter Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
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 $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $138.04 Typical High $316.23 | Facility | None | $50.12 | $138.04 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $446.68 Typical High $512.86 | Professional | None | $257.04 | $446.68 | $512.86 |
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 $257.04 Median $281.84 Typical High $645.65 | Professional | None | $257.04 | $281.84 | $645.65 |
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 $131.83 Median $302.00 Typical High $338.84 | Professional | 52 · Reduced service | $131.83 | $302.00 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $120.23 Typical High $134.90 | Professional | 53 · Discontinued | $52.48 | $120.23 | $134.90 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $194.98 Median $446.68 Typical High $512.86 | Professional | 54 · Surgery only | $194.98 | $446.68 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $89.13 Typical High $102.33 | Professional | 55 · Aftercare only | $38.90 | $89.13 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $60.26 Typical High $67.61 | Professional | 56 · Pre-op care only | $26.30 | $60.26 | $67.61 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $181.97 Median $416.87 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $181.97 | $416.87 | $478.63 |
Where Mississippi sits
The same service costs 5.8 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
$389
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.