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 $302.00 Median $758.58 Typical High $1,819.70 | Facility | None | $302.00 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $645.65 Typical High $741.31 | Professional | None | $281.84 | $645.65 | $741.31 |
Ambetter Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
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 $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
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 $281.84 Median $489.78 Typical High $562.34 | Professional | None | $281.84 | $489.78 | $562.34 |
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 $275.42 Median $309.03 Typical High $707.95 | Professional | None | $275.42 | $309.03 | $707.95 |
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 $141.25 Median $323.59 Typical High $371.54 | Professional | 52 · Reduced service | $141.25 | $323.59 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $131.83 Typical High $147.91 | Professional | 53 · Discontinued | $56.23 | $131.83 | $147.91 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $489.78 Typical High $549.54 | Professional | 54 · Surgery only | $213.80 | $489.78 | $549.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $97.72 Typical High $109.65 | Professional | 55 · Aftercare only | $42.66 | $97.72 | $109.65 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $64.57 Typical High $74.13 | Professional | 56 · Pre-op care only | $28.18 | $64.57 | $74.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $199.53 Median $457.09 Typical High $512.86 | Professional | 78 · Unplanned return to OR | $199.53 | $457.09 | $512.86 |
Where Mississippi sits
The same service costs 5.9 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· 22nd of 51
$427
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.