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 $295.12 Median $758.58 Typical High $1,819.70 | Facility | None | $295.12 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $575.44 Typical High $707.95 | Professional | None | $239.88 | $575.44 | $707.95 |
Ambetter Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $186.21 | Professional | None | $128.82 | $128.82 | $186.21 |
BCBS Mississippi Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
BCBS Mississippi Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $223.87 Typical High $524.81 | Facility | None | $181.97 | $223.87 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $302.00 Typical High $537.03 | Professional | None | $218.78 | $302.00 | $537.03 |
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 $302.00 Median $616.60 Typical High $1,584.89 | Facility | None | $302.00 | $616.60 | $1,584.89 |
United Setting Professional Modifier None Typical Low $218.78 Median $288.40 Typical High $676.08 | Professional | None | $218.78 | $288.40 | $676.08 |
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 $120.23 Median $281.84 Typical High $354.81 | Professional | 52 · Reduced service | $120.23 | $281.84 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $114.82 Typical High $141.25 | Professional | 53 · Discontinued | $47.86 | $114.82 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $426.58 Typical High $537.03 | Professional | 54 · Surgery only | $177.83 | $426.58 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $85.11 Typical High $107.15 | Professional | 55 · Aftercare only | $36.31 | $85.11 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $57.54 Typical High $70.79 | Professional | 56 · Pre-op care only | $23.99 | $57.54 | $70.79 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $165.96 Median $398.11 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $165.96 | $398.11 | $501.19 |
Where Mississippi sits
The same service costs 4.2 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· 29th of 51
$372
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.