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 $331.13 Median $758.58 Typical High $1,819.70 | Facility | None | $331.13 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $588.84 Typical High $831.76 | Professional | None | $234.42 | $588.84 | $831.76 |
Ambetter Setting Professional Modifier None Typical Low $239.88 Median $371.54 Typical High $416.87 | Professional | None | $239.88 | $371.54 | $416.87 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Facility | None | $1,258.93 | $1,258.93 | $1,258.93 |
BCBS Mississippi Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $954.99 Typical High $1,949.84 | Facility | None | $630.96 | $954.99 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $398.11 Typical High $724.44 | Professional | None | $245.47 | $398.11 | $724.44 |
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 $758.58 Median $1,412.54 Typical High $4,466.84 | Facility | None | $758.58 | $1,412.54 | $4,466.84 |
United Setting Professional Modifier None Typical Low $213.80 Median $346.74 Typical High $707.95 | Professional | None | $213.80 | $346.74 | $707.95 |
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 $117.49 Median $302.00 Typical High $416.87 | Professional | 52 · Reduced service | $117.49 | $302.00 | $416.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $120.23 Typical High $165.96 | Professional | 53 · Discontinued | $46.77 | $120.23 | $165.96 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $446.68 Typical High $630.96 | Professional | 54 · Surgery only | $177.83 | $446.68 | $630.96 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $89.13 Typical High $125.89 | Professional | 55 · Aftercare only | $35.48 | $89.13 | $125.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $60.26 Typical High $83.18 | Professional | 56 · Pre-op care only | $23.44 | $60.26 | $83.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $165.96 Median $416.87 Typical High $588.84 | Professional | 78 · Unplanned return to OR | $165.96 | $416.87 | $588.84 |
Where Mississippi sits
The same service costs 4.6 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· 8th of 51
$603
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.