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 $97.72 Median $549.54 Typical High $1,819.70 | Facility | None | $97.72 | $549.54 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $190.55 Typical High $316.23 | Professional | None | $97.72 | $190.55 | $316.23 |
Ambetter Setting Professional Modifier None Typical Low $85.11 Median $165.96 Typical High $194.98 | Professional | None | $85.11 | $165.96 | $194.98 |
BCBS Mississippi Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
BCBS Mississippi Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None | $239.88 | $239.88 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $138.04 Typical High $524.81 | Facility | None | $109.65 | $138.04 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $151.36 Typical High $229.09 | Professional | None | $100.00 | $151.36 | $229.09 |
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 $1,737.80 | Facility | None | $302.00 | $616.60 | $1,737.80 |
United Setting Professional Modifier None Typical Low $104.71 Median $147.91 Typical High $269.15 | Professional | None | $104.71 | $147.91 | $269.15 |
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 $48.98 Median $109.65 Typical High $158.49 | Professional | 52 · Reduced service | $48.98 | $109.65 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $43.65 Typical High $63.10 | Professional | 53 · Discontinued | $19.50 | $43.65 | $63.10 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $74.13 Median $162.18 Typical High $234.42 | Professional | 54 · Surgery only | $74.13 | $162.18 | $234.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $32.36 Typical High $46.77 | Professional | 55 · Aftercare only | $14.79 | $32.36 | $46.77 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.77 Median $21.88 Typical High $31.62 | Professional | 56 · Pre-op care only | $9.77 | $21.88 | $31.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $69.18 Median $151.36 Typical High $218.78 | Professional | 78 · Unplanned return to OR | $69.18 | $151.36 | $218.78 |
Where Mississippi sits
The same service costs 3.8 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· 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.