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 $263.03 Median $776.25 Typical High $1,819.70 | Facility | None | $263.03 | $776.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $234.42 Typical High $263.03 | Professional | None | $107.15 | $234.42 | $263.03 |
Ambetter Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $199.53 | Professional | None | $162.18 | $162.18 | $199.53 |
BCBS Mississippi Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
BCBS Mississippi Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None | $288.40 | $288.40 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $91.20 Typical High $208.93 | Facility | None | $50.12 | $91.20 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $194.98 Typical High $208.93 | Professional | None | $120.23 | $194.98 | $208.93 |
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 $104.71 Median $120.23 Typical High $275.42 | Professional | None | $104.71 | $120.23 | $275.42 |
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 $53.70 Median $117.49 Typical High $131.83 | Professional | 52 · Reduced service | $53.70 | $117.49 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $46.77 Typical High $53.70 | Professional | 53 · Discontinued | $21.38 | $46.77 | $53.70 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $79.43 Median $177.83 Typical High $199.53 | Professional | 54 · Surgery only | $79.43 | $177.83 | $199.53 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $35.48 Typical High $39.81 | Professional | 55 · Aftercare only | $15.85 | $35.48 | $39.81 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $23.44 Typical High $26.30 | Professional | 56 · Pre-op care only | $10.72 | $23.44 | $26.30 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $74.13 Median $165.96 Typical High $186.21 | Professional | 78 · Unplanned return to OR | $74.13 | $165.96 | $186.21 |
Where Mississippi sits
The same service costs 5.1 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
$170
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.