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 $549.54 Median $776.25 Typical High $1,819.70 | Facility | None | $549.54 | $776.25 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $288.40 Median $707.95 Typical High $707.95 | Professional | None | $288.40 | $707.95 | $707.95 |
Ambetter Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
BCBS Mississippi Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None | $724.44 | $724.44 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,000.00 Typical High $1,202.26 | Facility | None | $660.69 | $1,000.00 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $457.09 Typical High $602.56 | Professional | None | $309.03 | $457.09 | $602.56 |
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 $467.74 Median $707.95 Typical High $2,454.71 | Facility | None | $467.74 | $707.95 | $2,454.71 |
United Setting Professional Modifier None Typical Low $316.23 Median $346.74 Typical High $741.31 | Professional | None | $316.23 | $346.74 | $741.31 |
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 $144.54 Median $346.74 Typical High $346.74 | Professional | 52 · Reduced service | $144.54 | $346.74 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $57.54 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $213.80 Median $524.81 Typical High $524.81 | Professional | 54 · Surgery only | $213.80 | $524.81 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $104.71 Typical High $104.71 | Professional | 55 · Aftercare only | $43.65 | $104.71 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $28.84 Median $70.79 Typical High $70.79 | Professional | 56 · Pre-op care only | $28.84 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $199.53 Median $489.78 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $199.53 | $489.78 | $489.78 |
Where Mississippi sits
The same service costs 5.8 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
$631
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.