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 $147.91 Median $758.58 Typical High $1,819.70 | Facility | None | $147.91 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $316.23 Typical High $354.81 | Professional | None | $131.83 | $316.23 | $354.81 |
Ambetter Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
BCBS Mississippi Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
BCBS Mississippi Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $120.23 Typical High $275.42 | Facility | None | $50.12 | $120.23 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $229.09 Typical High $269.15 | Professional | None | $151.36 | $229.09 | $269.15 |
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 $128.82 Median $151.36 Typical High $338.84 | Professional | None | $128.82 | $151.36 | $338.84 |
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 $64.57 Median $158.49 Typical High $177.83 | Professional | 52 · Reduced service | $64.57 | $158.49 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $63.10 Typical High $72.44 | Professional | 53 · Discontinued | $26.30 | $63.10 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $97.72 Median $234.42 Typical High $269.15 | Professional | 54 · Surgery only | $97.72 | $234.42 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $47.86 Typical High $53.70 | Professional | 55 · Aftercare only | $19.50 | $47.86 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $13.18 Median $31.62 Typical High $35.48 | Professional | 56 · Pre-op care only | $13.18 | $31.62 | $35.48 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $91.20 Median $218.78 Typical High $251.19 | Professional | 78 · Unplanned return to OR | $91.20 | $218.78 | $251.19 |
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· 15th of 51
$229
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.