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 $398.11 Median $758.58 Typical High $1,819.70 | Facility | None | $398.11 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $691.83 Typical High $977.24 | Professional | None | $281.84 | $691.83 | $977.24 |
Ambetter Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None | $363.08 | $363.08 | $363.08 |
BCBS Mississippi Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
BCBS Mississippi Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $758.58 Typical High $1,445.44 | Facility | None | $630.96 | $758.58 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $524.81 Typical High $776.25 | Professional | None | $338.84 | $524.81 | $776.25 |
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 $467.74 Median $758.58 Typical High $3,090.30 | Facility | None | $467.74 | $758.58 | $3,090.30 |
United Setting Professional Modifier None Typical Low $295.12 Median $436.52 Typical High $891.25 | Professional | None | $295.12 | $436.52 | $891.25 |
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 $346.74 Typical High $478.63 | Professional | 52 · Reduced service | $141.25 | $346.74 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $138.04 Typical High $194.98 | Professional | 53 · Discontinued | $56.23 | $138.04 | $194.98 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $512.86 Typical High $724.44 | Professional | 54 · Surgery only | $213.80 | $512.86 | $724.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $102.33 Typical High $144.54 | Professional | 55 · Aftercare only | $42.66 | $102.33 | $144.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.18 Median $69.18 Typical High $97.72 | Professional | 56 · Pre-op care only | $28.18 | $69.18 | $97.72 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $199.53 Median $478.63 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $199.53 | $478.63 | $676.08 |
Where Mississippi sits
The same service costs 4.9 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· 14th of 51
$589
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.