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 $56.23 Median $758.58 Typical High $1,819.70 | Facility | None | $56.23 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $79.43 Typical High $125.89 | Professional | None | $45.71 | $79.43 | $125.89 |
Ambetter Setting Professional Modifier None Typical Low $45.71 Median $60.26 Typical High $95.50 | Professional | None | $45.71 | $60.26 | $95.50 |
BCBS Mississippi Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
BCBS Mississippi Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None | $102.33 | $102.33 | $102.33 |
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 $44.67 Median $69.18 Typical High $102.33 | Professional | None | $44.67 | $69.18 | $102.33 |
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 $316.23 Typical High $1,096.48 | Facility | None | $91.20 | $316.23 | $1,096.48 |
United Setting Professional Modifier None Typical Low $48.98 Median $66.07 Typical High $117.49 | Professional | None | $48.98 | $66.07 | $117.49 |
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 $22.91 Median $47.86 Typical High $63.10 | Professional | 52 · Reduced service | $22.91 | $47.86 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $19.05 Typical High $25.12 | Professional | 53 · Discontinued | $9.12 | $19.05 | $25.12 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $34.67 Median $72.44 Typical High $93.33 | Professional | 54 · Surgery only | $34.67 | $72.44 | $93.33 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.92 Median $14.45 Typical High $18.62 | Professional | 55 · Aftercare only | $6.92 | $14.45 | $18.62 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.57 Median $9.55 Typical High $12.59 | Professional | 56 · Pre-op care only | $4.57 | $9.55 | $12.59 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $32.36 Median $67.61 Typical High $87.10 | Professional | 78 · Unplanned return to OR | $32.36 | $67.61 | $87.10 |
Where Mississippi sits
The same service costs 4.2 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· 13th of 51
$89.13
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.