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 $295.12 Median $758.58 Typical High $1,819.70 | Facility | None | $295.12 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $275.42 Median $630.96 Typical High $724.44 | Professional | None | $275.42 | $630.96 | $724.44 |
Ambetter Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
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 $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
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 $269.15 Median $467.74 Typical High $537.03 | Professional | None | $269.15 | $467.74 | $537.03 |
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 $269.15 Median $302.00 Typical High $676.08 | Professional | None | $269.15 | $302.00 | $676.08 |
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 $138.04 Median $316.23 Typical High $363.08 | Professional | 52 · Reduced service | $138.04 | $316.23 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $125.89 Typical High $144.54 | Professional | 53 · Discontinued | $54.95 | $125.89 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $208.93 Median $478.63 Typical High $537.03 | Professional | 54 · Surgery only | $208.93 | $478.63 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $95.50 Typical High $107.15 | Professional | 55 · Aftercare only | $41.69 | $95.50 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $27.54 Median $63.10 Typical High $72.44 | Professional | 56 · Pre-op care only | $27.54 | $63.10 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $194.98 Median $446.68 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $194.98 | $446.68 | $501.19 |
Where Mississippi sits
The same service costs 5.8 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· 20th of 51
$417
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.