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 $190.55 Median $758.58 Typical High $1,819.70 | Facility | None | $190.55 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $407.38 Typical High $467.74 | Professional | None | $173.78 | $407.38 | $467.74 |
Ambetter Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None | $251.19 | $251.19 | $251.19 |
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 $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $138.04 Typical High $295.12 | Facility | None | $50.12 | $138.04 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $309.03 Typical High $363.08 | Professional | None | $177.83 | $309.03 | $363.08 |
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 $177.83 Median $199.53 Typical High $457.09 | Professional | None | $177.83 | $199.53 | $457.09 |
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 $87.10 Median $204.17 Typical High $229.09 | Professional | 52 · Reduced service | $87.10 | $204.17 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $81.28 Typical High $93.33 | Professional | 53 · Discontinued | $34.67 | $81.28 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $131.83 Median $309.03 Typical High $346.74 | Professional | 54 · Surgery only | $131.83 | $309.03 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.30 Median $61.66 Typical High $69.18 | Professional | 55 · Aftercare only | $26.30 | $61.66 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $40.74 Typical High $46.77 | Professional | 56 · Pre-op care only | $17.38 | $40.74 | $46.77 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $123.03 Median $288.40 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $123.03 | $288.40 | $323.59 |
Where Mississippi sits
The same service costs 4.8 times more in Alaska than in Florida. 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· 17th of 51
$288
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.