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 $346.74 Median $776.25 Typical High $1,995.26 | Facility | None | $346.74 | $776.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $501.19 Typical High $776.25 | Professional | None | $234.42 | $501.19 | $776.25 |
Ambetter Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $416.87 | Professional | None | $346.74 | $346.74 | $416.87 |
BCBS Mississippi Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
BCBS Mississippi Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | None | $616.60 | $616.60 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $467.74 Typical High $954.99 | Facility | None | $380.19 | $467.74 | $954.99 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $436.52 Typical High $616.60 | Professional | None | $275.42 | $436.52 | $616.60 |
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 $338.84 Typical High $1,412.54 | Facility | None | $91.20 | $338.84 | $1,412.54 |
United Setting Professional Modifier None Typical Low $269.15 Median $389.05 Typical High $676.08 | Professional | None | $269.15 | $389.05 | $676.08 |
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 $117.49 Median $263.03 Typical High $389.05 | Professional | 52 · Reduced service | $117.49 | $263.03 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $104.71 Typical High $154.88 | Professional | 53 · Discontinued | $47.86 | $104.71 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $398.11 Typical High $575.44 | Professional | 54 · Surgery only | $177.83 | $398.11 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $79.43 Typical High $117.49 | Professional | 55 · Aftercare only | $35.48 | $79.43 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $52.48 Typical High $77.62 | Professional | 56 · Pre-op care only | $23.44 | $52.48 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $165.96 Median $371.54 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $165.96 | $371.54 | $537.03 |
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· 26th of 51
$437
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.