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 $316.23 Median $758.58 Typical High $1,819.70 | Facility | None | $316.23 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $426.58 Typical High $707.95 | Professional | None | $204.17 | $426.58 | $707.95 |
Ambetter Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $436.52 | Professional | None | $316.23 | $316.23 | $436.52 |
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 $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $257.04 Typical High $758.58 | Facility | None | $208.93 | $257.04 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $380.19 Typical High $562.34 | Professional | None | $234.42 | $380.19 | $562.34 |
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 $229.09 Median $346.74 Typical High $588.84 | Professional | None | $229.09 | $346.74 | $588.84 |
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 $102.33 Median $229.09 Typical High $354.81 | Professional | 52 · Reduced service | $102.33 | $229.09 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $91.20 Typical High $141.25 | Professional | 53 · Discontinued | $41.69 | $91.20 | $141.25 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $154.88 Median $346.74 Typical High $537.03 | Professional | 54 · Surgery only | $154.88 | $346.74 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $69.18 Typical High $107.15 | Professional | 55 · Aftercare only | $30.90 | $69.18 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.42 Median $45.71 Typical High $70.79 | Professional | 56 · Pre-op care only | $20.42 | $45.71 | $70.79 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $144.54 Median $323.59 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $144.54 | $323.59 | $501.19 |
Where Mississippi sits
The same service costs 3.5 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
$380
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.