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 $263.03 Median $776.25 Typical High $1,995.26 | Facility | None | $263.03 | $776.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $588.84 Typical High $660.69 | Professional | None | $263.03 | $588.84 | $660.69 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $199.53 Median $446.68 Typical High $501.19 | Professional | 54 · Surgery only | $199.53 | $446.68 | $501.19 |
Ambetter Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $331.13 | Professional | None | $177.83 | $177.83 | $331.13 |
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 $524.81 Median $524.81 Typical High $524.81 | Professional | None | $524.81 | $524.81 | $524.81 |
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 $251.19 Median $436.52 Typical High $501.19 | Professional | None | $251.19 | $436.52 | $501.19 |
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 $234.42 Median $275.42 Typical High $630.96 | Professional | None | $234.42 | $275.42 | $630.96 |
5 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 $295.12 Typical High $331.13 | Professional | 52 · Reduced service | $131.83 | $295.12 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $117.49 Typical High $131.83 | Professional | 53 · Discontinued | $52.48 | $117.49 | $131.83 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $89.13 Typical High $100.00 | Professional | 55 · Aftercare only | $39.81 | $89.13 | $100.00 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.30 Median $58.88 Typical High $66.07 | Professional | 56 · Pre-op care only | $26.30 | $58.88 | $66.07 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $186.21 Median $416.87 Typical High $467.74 | Professional | 78 · Unplanned return to OR | $186.21 | $416.87 | $467.74 |
Where Mississippi sits
The same service costs 5.6 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· 22nd of 51
$372
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.