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 $478.63 Median $851.14 Typical High $2,238.72 | Facility | None | $478.63 | $851.14 | $2,238.72 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $1,047.13 Typical High $2,238.72 | Professional | None | $331.13 | $1,047.13 | $2,238.72 |
Ambetter Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $691.83 | Professional | None | $416.87 | $416.87 | $691.83 |
BCBS Mississippi Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None | $1,096.48 | $1,096.48 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $295.12 Typical High $912.01 | Facility | None | $234.42 | $295.12 | $912.01 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $794.33 Typical High $1,202.26 | Professional | None | $354.81 | $794.33 | $1,202.26 |
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 $977.24 Median $1,737.80 Typical High $6,456.54 | Facility | None | $977.24 | $1,737.80 | $6,456.54 |
United Setting Professional Modifier None Typical Low $346.74 Median $660.69 Typical High $1,288.25 | Professional | None | $346.74 | $660.69 | $1,288.25 |
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 $165.96 Median $524.81 Typical High $1,096.48 | Professional | 52 · Reduced service | $165.96 | $524.81 | $1,096.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $213.80 Typical High $446.68 | Professional | 53 · Discontinued | $66.07 | $213.80 | $446.68 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $251.19 Median $794.33 Typical High $1,659.59 | Professional | 54 · Surgery only | $251.19 | $794.33 | $1,659.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $158.49 Typical High $331.13 | Professional | 55 · Aftercare only | $50.12 | $158.49 | $331.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $33.11 Median $104.71 Typical High $223.87 | Professional | 56 · Pre-op care only | $33.11 | $104.71 | $223.87 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $234.42 Median $741.31 Typical High $1,548.82 | Professional | 78 · Unplanned return to OR | $234.42 | $741.31 | $1,548.82 |
Where Mississippi sits
The same service costs 4.3 times more in Wisconsin 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· 12th 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.