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 $123.03 Median $758.58 Typical High $1,819.70 | Facility | None | $123.03 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $275.42 Typical High $389.05 | Professional | None | $107.15 | $275.42 | $389.05 |
Ambetter Setting Professional Modifier None Typical Low $199.53 Median $257.04 Typical High $316.23 | Professional | None | $199.53 | $257.04 | $316.23 |
BCBS Mississippi Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
BCBS Mississippi Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $100.00 Typical High $524.81 | Facility | None | $81.28 | $100.00 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $199.53 Typical High $257.04 | Professional | None | $128.82 | $199.53 | $257.04 |
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 $91.20 Median $346.74 Typical High $1,096.48 | Facility | None | $91.20 | $346.74 | $1,096.48 |
United Setting Professional Modifier None Typical Low $107.15 Median $144.54 Typical High $338.84 | Professional | None | $107.15 | $144.54 | $338.84 |
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 $53.70 Median $158.49 Typical High $194.98 | Professional | 52 · Reduced service | $53.70 | $158.49 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $63.10 Typical High $77.62 | Professional | 53 · Discontinued | $21.38 | $63.10 | $77.62 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $81.28 Median $239.88 Typical High $295.12 | Professional | 54 · Surgery only | $81.28 | $239.88 | $295.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $47.86 Typical High $58.88 | Professional | 55 · Aftercare only | $16.22 | $47.86 | $58.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.72 Median $31.62 Typical High $38.90 | Professional | 56 · Pre-op care only | $10.72 | $31.62 | $38.90 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $75.86 Median $223.87 Typical High $275.42 | Professional | 78 · Unplanned return to OR | $75.86 | $223.87 | $275.42 |
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $223.87 Median $223.87 Typical High $245.47 | Professional | 50 · Both sides | $223.87 | $223.87 | $245.47 |
Where Mississippi sits
The same service costs 4.2 times more in Alaska than in Florida. 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
$200
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.