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 $630.96 Median $891.25 Typical High $1,995.26 | Facility | None | $630.96 | $891.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $489.78 Median $1,047.13 Typical High $1,174.90 | Professional | None | $489.78 | $1,047.13 | $1,174.90 |
Ambetter Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
BCBS Mississippi Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,659.59 Typical High $3,162.28 | Facility | None | $660.69 | $1,659.59 | $3,162.28 |
Cigna Setting Professional Modifier None Typical Low $398.11 Median $812.83 Typical High $912.01 | Professional | None | $398.11 | $812.83 | $912.01 |
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 $1,380.38 Median $3,311.31 Typical High $8,709.64 | Facility | None | $1,380.38 | $3,311.31 | $8,709.64 |
United Setting Professional Modifier None Typical Low $478.63 Median $549.54 Typical High $1,230.27 | Professional | None | $478.63 | $549.54 | $1,230.27 |
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 $245.47 Median $524.81 Typical High $588.84 | Professional | 52 · Reduced service | $245.47 | $524.81 | $588.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $97.72 Median $208.93 Typical High $234.42 | Professional | 53 · Discontinued | $97.72 | $208.93 | $234.42 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $363.08 Median $776.25 Typical High $891.25 | Professional | 54 · Surgery only | $363.08 | $776.25 | $891.25 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $158.49 Typical High $177.83 | Professional | 55 · Aftercare only | $74.13 | $158.49 | $177.83 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $48.98 Median $104.71 Typical High $117.49 | Professional | 56 · Pre-op care only | $48.98 | $104.71 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $724.44 Typical High $831.76 | Professional | 78 · Unplanned return to OR | $338.84 | $724.44 | $831.76 |
Where Mississippi sits
The same service costs 7.9 times more in Alaska than in Texas. 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· 16th of 51
$871
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.