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 $151.36 Median $549.54 Typical High $1,819.70 | Facility | None | $151.36 | $549.54 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $263.03 Typical High $426.58 | Professional | None | $151.36 | $263.03 | $426.58 |
Ambetter Setting Professional Modifier None Typical Low $165.96 Median $186.21 Typical High $190.55 | Professional | None | $165.96 | $186.21 | $190.55 |
BCBS Mississippi Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
BCBS Mississippi Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $165.96 Typical High $524.81 | Facility | None | $134.90 | $165.96 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $234.42 Typical High $309.03 | Professional | None | $151.36 | $234.42 | $309.03 |
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 $2,884.03 | Facility | None | $302.00 | $616.60 | $2,884.03 |
United Setting Professional Modifier None Typical Low $165.96 Median $208.93 Typical High $407.38 | Professional | None | $165.96 | $208.93 | $407.38 |
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 $75.86 Median $162.18 Typical High $208.93 | Professional | 52 · Reduced service | $75.86 | $162.18 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $64.57 Typical High $85.11 | Professional | 53 · Discontinued | $30.20 | $64.57 | $85.11 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $114.82 Median $245.47 Typical High $316.23 | Professional | 54 · Surgery only | $114.82 | $245.47 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $48.98 Typical High $63.10 | Professional | 55 · Aftercare only | $22.91 | $48.98 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $15.14 Median $32.36 Typical High $42.66 | Professional | 56 · Pre-op care only | $15.14 | $32.36 | $42.66 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $107.15 Median $229.09 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $107.15 | $229.09 | $295.12 |
Where Mississippi sits
The same service costs 3.9 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· 22nd of 51
$263
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.