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 $138.04 Median $758.58 Typical High $1,819.70 | Facility | None | $138.04 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $338.84 Typical High $436.52 | Professional | None | $112.20 | $338.84 | $436.52 |
Ambetter Setting Professional Modifier None Typical Low $120.23 Median $141.25 Typical High $181.97 | Professional | None | $120.23 | $141.25 | $181.97 |
BCBS Mississippi Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
BCBS Mississippi Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $83.18 Typical High $630.96 | Facility | None | $66.07 | $83.18 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $204.17 Typical High $257.04 | Professional | None | $131.83 | $204.17 | $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 $112.20 Median $154.88 Typical High $331.13 | Professional | None | $112.20 | $154.88 | $331.13 |
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 $56.23 Median $177.83 Typical High $218.78 | Professional | 52 · Reduced service | $56.23 | $177.83 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $70.79 Typical High $87.10 | Professional | 53 · Discontinued | $22.39 | $70.79 | $87.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $263.03 Typical High $323.59 | Professional | 54 · Surgery only | $83.18 | $263.03 | $323.59 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $52.48 Typical High $64.57 | Professional | 55 · Aftercare only | $16.60 | $52.48 | $64.57 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $35.48 Typical High $43.65 | Professional | 56 · Pre-op care only | $11.22 | $35.48 | $43.65 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $77.62 Median $245.47 Typical High $302.00 | Professional | 78 · Unplanned return to OR | $77.62 | $245.47 | $302.00 |
Where Mississippi sits
The same service costs 3.9 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· 18th of 51
$191
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.