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 $269.15 Median $831.76 Typical High $1,995.26 | Facility | None | $269.15 | $831.76 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $575.44 Typical High $831.76 | Professional | None | $269.15 | $575.44 | $831.76 |
Ambetter Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None | $275.42 | $275.42 | $275.42 |
BCBS Mississippi Setting Facility Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,388.44 | Facility | None | $3,090.30 | $3,090.30 | $3,388.44 |
BCBS Mississippi Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None | $660.69 | $660.69 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $2,818.38 Typical High $4,570.88 | Facility | None | $660.69 | $2,818.38 | $4,570.88 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $389.05 Typical High $676.08 | Professional | None | $269.15 | $389.05 | $676.08 |
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 $794.33 Median $1,479.11 Typical High $7,585.78 | Facility | None | $794.33 | $1,479.11 | $7,585.78 |
United Setting Professional Modifier None Typical Low $257.04 Median $295.12 Typical High $741.31 | Professional | None | $257.04 | $295.12 | $741.31 |
7 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 $134.90 Median $288.40 Typical High $416.87 | Professional | 52 · Reduced service | $134.90 | $288.40 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $114.82 Typical High $165.96 | Professional | 53 · Discontinued | $53.70 | $114.82 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $204.17 Median $426.58 Typical High $630.96 | Professional | 54 · Surgery only | $204.17 | $426.58 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $85.11 Typical High $125.89 | Professional | 55 · Aftercare only | $40.74 | $85.11 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $26.92 Median $57.54 Typical High $83.18 | Professional | 56 · Pre-op care only | $26.92 | $57.54 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $190.55 Median $398.11 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $190.55 | $398.11 | $588.84 |
Ambetter Setting Professional Modifier 51 · Multiple procedures Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 51 · Multiple procedures | $138.04 | $138.04 | $138.04 |
Where Mississippi sits
The same service costs 5.5 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
$417
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.