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 $288.40 Median $758.58 Typical High $1,995.26 | Facility | None | $288.40 | $758.58 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $616.60 Typical High $691.83 | Professional | None | $257.04 | $616.60 | $691.83 |
BCBS Mississippi Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
BCBS Mississippi Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $891.25 Typical High $1,698.24 | Facility | None | $660.69 | $891.25 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $478.63 Typical High $575.44 | Professional | None | $269.15 | $478.63 | $575.44 |
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 $758.58 Median $1,412.54 Typical High $4,365.16 | Facility | None | $758.58 | $1,412.54 | $4,365.16 |
United Setting Professional Modifier None Typical Low $269.15 Median $309.03 Typical High $724.44 | Professional | None | $269.15 | $309.03 | $724.44 |
7 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 $128.82 Median $302.00 Typical High $346.74 | Professional | 52 · Reduced service | $128.82 | $302.00 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $123.03 Typical High $138.04 | Professional | 53 · Discontinued | $51.29 | $123.03 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $190.55 Median $457.09 Typical High $512.86 | Professional | 54 · Surgery only | $190.55 | $457.09 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $91.20 Typical High $104.71 | Professional | 55 · Aftercare only | $38.02 | $91.20 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $25.70 Median $61.66 Typical High $69.18 | Professional | 56 · Pre-op care only | $25.70 | $61.66 | $69.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $177.83 Median $426.58 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $177.83 | $426.58 | $478.63 |
Ambetter Setting Professional Modifier 78 · Unplanned return to OR Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $331.13 | $331.13 | $331.13 |
Where Mississippi sits
The same service costs 6.8 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· 14th of 51
$490
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.