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 $257.04 Median $758.58 Typical High $1,819.70 | Facility | None | $257.04 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $169.82 Median $316.23 Typical High $575.44 | Professional | None | $169.82 | $316.23 | $575.44 |
Ambetter Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $181.97 | Professional | None | $138.04 | $138.04 | $181.97 |
BCBS Mississippi Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
BCBS Mississippi Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $213.80 Typical High $398.11 | Facility | None | $50.12 | $213.80 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $309.03 Typical High $436.52 | Professional | None | $199.53 | $309.03 | $436.52 |
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 $190.55 Median $281.84 Typical High $478.63 | Professional | None | $190.55 | $281.84 | $478.63 |
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 $85.11 Median $190.55 Typical High $288.40 | Professional | 52 · Reduced service | $85.11 | $190.55 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $75.86 Typical High $114.82 | Professional | 53 · Discontinued | $33.88 | $75.86 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $125.89 Median $281.84 Typical High $426.58 | Professional | 54 · Surgery only | $125.89 | $281.84 | $426.58 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $56.23 Typical High $87.10 | Professional | 55 · Aftercare only | $25.70 | $56.23 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $16.98 Median $38.02 Typical High $57.54 | Professional | 56 · Pre-op care only | $16.98 | $38.02 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $117.49 Median $263.03 Typical High $398.11 | Professional | 78 · Unplanned return to OR | $117.49 | $263.03 | $398.11 |
Where Mississippi sits
The same service costs 3.7 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· 25th of 51
$309
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.