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 $213.80 Median $758.58 Typical High $1,819.70 | Facility | None | $213.80 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $275.42 Typical High $478.63 | Professional | None | $123.03 | $275.42 | $478.63 |
Ambetter Setting Professional Modifier None Typical Low $134.90 Median $302.00 Typical High $302.00 | Professional | None | $134.90 | $302.00 | $302.00 |
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 $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $190.55 Typical High $363.08 | Facility | None | $50.12 | $190.55 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $234.42 Typical High $354.81 | Professional | None | $144.54 | $234.42 | $354.81 |
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 $138.04 Median $218.78 Typical High $380.19 | Professional | None | $138.04 | $218.78 | $380.19 |
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 $61.66 Median $138.04 Typical High $239.88 | Professional | 52 · Reduced service | $61.66 | $138.04 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $54.95 Typical High $95.50 | Professional | 53 · Discontinued | $24.55 | $54.95 | $95.50 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $208.93 Typical High $354.81 | Professional | 54 · Surgery only | $93.33 | $208.93 | $354.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $41.69 Typical High $70.79 | Professional | 55 · Aftercare only | $18.62 | $41.69 | $70.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.30 Median $27.54 Typical High $47.86 | Professional | 56 · Pre-op care only | $12.30 | $27.54 | $47.86 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $87.10 Median $194.98 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $87.10 | $194.98 | $331.13 |
Where Mississippi sits
The same service costs 3.4 times more in Alaska than in Maryland. 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· 19th 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.