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 $147.91 Median $758.58 Typical High $1,819.70 | Facility | None | $147.91 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $181.97 Typical High $331.13 | Professional | None | $87.10 | $181.97 | $331.13 |
Ambetter Setting Professional Modifier None Typical Low $112.20 Median $141.25 Typical High $165.96 | Professional | None | $112.20 | $141.25 | $165.96 |
BCBS Mississippi Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
BCBS Mississippi Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $89.13 Typical High $338.84 | Facility | None | $50.12 | $89.13 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $141.25 Typical High $239.88 | Professional | None | $87.10 | $141.25 | $239.88 |
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 $87.10 Median $141.25 Typical High $229.09 | Professional | None | $87.10 | $141.25 | $229.09 |
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 $43.65 Median $97.72 Typical High $165.96 | Professional | 52 · Reduced service | $43.65 | $97.72 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $38.90 Typical High $66.07 | Professional | 53 · Discontinued | $17.38 | $38.90 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $66.07 Median $144.54 Typical High $245.47 | Professional | 54 · Surgery only | $66.07 | $144.54 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $28.84 Typical High $48.98 | Professional | 55 · Aftercare only | $13.18 | $28.84 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $8.71 Median $19.50 Typical High $33.11 | Professional | 56 · Pre-op care only | $8.71 | $19.50 | $33.11 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $61.66 Median $134.90 Typical High $229.09 | Professional | 78 · Unplanned return to OR | $61.66 | $134.90 | $229.09 |
Where Mississippi sits
The same service costs 4.5 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· 27th of 51
$155
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.