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 $125.89 Median $549.54 Typical High $1,819.70 | Facility | None | $125.89 | $549.54 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $218.78 Typical High $363.08 | Professional | None | $125.89 | $218.78 | $363.08 |
Ambetter Setting Professional Modifier None Typical Low $69.18 Median $162.18 Typical High $229.09 | Professional | None | $69.18 | $162.18 | $229.09 |
BCBS Mississippi Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
BCBS Mississippi Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None | $275.42 | $275.42 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $151.36 Typical High $524.81 | Facility | None | $123.03 | $151.36 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $194.98 Typical High $263.03 | Professional | None | $128.82 | $194.98 | $263.03 |
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 $1,737.80 | Facility | None | $302.00 | $616.60 | $1,737.80 |
United Setting Professional Modifier None Typical Low $134.90 Median $177.83 Typical High $346.74 | Professional | None | $134.90 | $177.83 | $346.74 |
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 $63.10 Median $141.25 Typical High $181.97 | Professional | 52 · Reduced service | $63.10 | $141.25 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $56.23 Typical High $72.44 | Professional | 53 · Discontinued | $25.70 | $56.23 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $95.50 Median $208.93 Typical High $275.42 | Professional | 54 · Surgery only | $95.50 | $208.93 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $41.69 Typical High $54.95 | Professional | 55 · Aftercare only | $19.05 | $41.69 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $28.18 Typical High $36.31 | Professional | 56 · Pre-op care only | $12.59 | $28.18 | $36.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $89.13 Median $194.98 Typical High $257.04 | Professional | 78 · Unplanned return to OR | $89.13 | $194.98 | $257.04 |
Where Mississippi sits
The same service costs 4.0 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· 23rd of 51
$219
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.