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 $416.87 Median $812.83 Typical High $1,995.26 | Facility | None | $416.87 | $812.83 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $660.69 Typical High $776.25 | Professional | None | $316.23 | $660.69 | $776.25 |
Ambetter Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $741.31 | Professional | None | $446.68 | $446.68 | $741.31 |
BCBS Mississippi Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Facility | None | $2,884.03 | $2,884.03 | $2,884.03 |
BCBS Mississippi Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None | $851.14 | $851.14 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $2,884.03 Typical High $5,888.44 | Facility | None | $660.69 | $2,884.03 | $5,888.44 |
Cigna Setting Professional Modifier None Typical Low $338.84 Median $512.86 Typical High $660.69 | Professional | None | $338.84 | $512.86 | $660.69 |
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 $1,380.38 Median $3,311.31 Typical High $10,964.78 | Facility | None | $1,380.38 | $3,311.31 | $10,964.78 |
United Setting Professional Modifier None Typical Low $346.74 Median $389.05 Typical High $831.76 | Professional | None | $346.74 | $389.05 | $831.76 |
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 $158.49 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $158.49 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $63.10 | $154.88 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $239.88 Median $575.44 Typical High $575.44 | Professional | 54 · Surgery only | $239.88 | $575.44 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $114.82 Typical High $114.82 | Professional | 55 · Aftercare only | $47.86 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $77.62 Typical High $77.62 | Professional | 56 · Pre-op care only | $31.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $223.87 Median $537.03 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $223.87 | $537.03 | $537.03 |
Where Mississippi sits
The same service costs 9.3 times more in Kansas 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· 13th of 51
$776
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.