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 $524.81 Median $1,000.00 Typical High $1,995.26 | Facility | None | $524.81 | $1,000.00 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $524.81 Median $1,288.25 Typical High $1,288.25 | Professional | None | $524.81 | $1,288.25 | $1,288.25 |
BCBS Mississippi Setting Facility Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
BCBS Mississippi Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None | $1,288.25 | $1,288.25 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $2,187.76 Typical High $4,466.84 | Facility | None | $660.69 | $2,187.76 | $4,466.84 |
Cigna Setting Professional Modifier None Typical Low $457.09 Median $831.76 Typical High $1,096.48 | Professional | None | $457.09 | $831.76 | $1,096.48 |
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 $8,317.64 | Facility | None | $977.24 | $1,737.80 | $8,317.64 |
United Setting Professional Modifier None Typical Low $562.34 Median $645.65 Typical High $1,348.96 | Professional | None | $562.34 | $645.65 | $1,348.96 |
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 $263.03 Median $645.65 Typical High $645.65 | Professional | 52 · Reduced service | $263.03 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $257.04 Typical High $257.04 | Professional | 53 · Discontinued | $104.71 | $257.04 | $257.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $398.11 Median $954.99 Typical High $954.99 | Professional | 54 · Surgery only | $398.11 | $954.99 | $954.99 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $194.98 Typical High $194.98 | Professional | 55 · Aftercare only | $79.43 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $52.48 Median $128.82 Typical High $128.82 | Professional | 56 · Pre-op care only | $52.48 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $891.25 Typical High $891.25 | Professional | 78 · Unplanned return to OR | $371.54 | $891.25 | $891.25 |
Ambetter Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 78 · Unplanned return to OR | $575.44 | $575.44 | $575.44 |
Where Mississippi sits
The same service costs 6.2 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· 11th of 51
$1,175
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.