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 $89.13 Median $549.54 Typical High $1,819.70 | Facility | None | $89.13 | $549.54 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $89.13 Median $177.83 Typical High $275.42 | Professional | None | $89.13 | $177.83 | $275.42 |
Ambetter Setting Professional Modifier None Typical Low $79.43 Median $89.13 Typical High $114.82 | Professional | None | $79.43 | $89.13 | $114.82 |
BCBS Mississippi Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
BCBS Mississippi Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | None | $177.83 | $177.83 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $117.49 Typical High $269.15 | Facility | None | $50.12 | $117.49 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $154.88 Typical High $223.87 | Professional | None | $104.71 | $154.88 | $223.87 |
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 $363.08 Typical High $1,148.15 | Facility | None | $91.20 | $363.08 | $1,148.15 |
United Setting Professional Modifier None Typical Low $95.50 Median $138.04 Typical High $245.47 | Professional | None | $95.50 | $138.04 | $245.47 |
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 $44.67 Median $97.72 Typical High $138.04 | Professional | 52 · Reduced service | $44.67 | $97.72 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $39.81 Typical High $54.95 | Professional | 53 · Discontinued | $17.78 | $39.81 | $54.95 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $66.07 Median $147.91 Typical High $208.93 | Professional | 54 · Surgery only | $66.07 | $147.91 | $208.93 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $29.51 Typical High $41.69 | Professional | 55 · Aftercare only | $13.49 | $29.51 | $41.69 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.91 Median $19.95 Typical High $27.54 | Professional | 56 · Pre-op care only | $8.91 | $19.95 | $27.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $61.66 Median $138.04 Typical High $194.98 | Professional | 78 · Unplanned return to OR | $61.66 | $138.04 | $194.98 |
Where Mississippi sits
The same service costs 4.1 times more in Alaska than in Kentucky. 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
$151
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.