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 $83.18 Median $758.58 Typical High $1,819.70 | Facility | None | $83.18 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $199.53 Typical High $263.03 | Professional | None | $63.10 | $199.53 | $263.03 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $46.77 Median $151.36 Typical High $199.53 | Professional | 54 · Surgery only | $46.77 | $151.36 | $199.53 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $43.65 Median $141.25 Typical High $186.21 | Professional | 78 · Unplanned return to OR | $43.65 | $141.25 | $186.21 |
BCBS Mississippi Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
BCBS Mississippi Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None | $169.82 | $169.82 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $50.12 Typical High $154.88 | Facility | None | $44.67 | $50.12 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $117.49 Typical High $151.36 | Professional | None | $81.28 | $117.49 | $151.36 |
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 $64.57 Median $83.18 Typical High $177.83 | Professional | None | $64.57 | $83.18 | $177.83 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 50 · Both sides Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 50 · Both sides | $114.82 | $114.82 | $114.82 |
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· 11th of 51
$123
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.