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 $208.93 Median $758.58 Typical High $1,819.70 | Facility | None | $208.93 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $316.23 Typical High $467.74 | Professional | None | $144.54 | $316.23 | $467.74 |
Ambetter Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $562.34 | Professional | None | $245.47 | $245.47 | $562.34 |
BCBS Mississippi Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
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 $151.36 Median $190.55 Typical High $524.81 | Facility | None | $151.36 | $190.55 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $229.09 Typical High $346.74 | Professional | None | $147.91 | $229.09 | $346.74 |
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 $158.49 Median $229.09 Typical High $407.38 | Professional | None | $158.49 | $229.09 | $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 $72.44 Median $158.49 Typical High $234.42 | Professional | 52 · Reduced service | $72.44 | $158.49 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $64.57 Typical High $93.33 | Professional | 53 · Discontinued | $28.84 | $64.57 | $93.33 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $107.15 Median $239.88 Typical High $346.74 | Professional | 54 · Surgery only | $107.15 | $239.88 | $346.74 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $47.86 Typical High $69.18 | Professional | 55 · Aftercare only | $21.38 | $47.86 | $69.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $14.45 Median $31.62 Typical High $46.77 | Professional | 56 · Pre-op care only | $14.45 | $31.62 | $46.77 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $100.00 Median $223.87 Typical High $323.59 | Professional | 78 · Unplanned return to OR | $100.00 | $223.87 | $323.59 |
Where Mississippi sits
The same service costs 3.4 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
$288
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.