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 $83.18 Median $758.58 Typical High $1,819.70 | Facility | None | $83.18 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $102.33 Typical High $181.97 | Professional | None | $60.26 | $102.33 | $181.97 |
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 $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
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 $61.66 Median $93.33 Typical High $141.25 | Professional | None | $61.66 | $93.33 | $141.25 |
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 $64.57 Median $89.13 Typical High $165.96 | Professional | None | $64.57 | $89.13 | $165.96 |
7 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 $30.20 Median $66.07 Typical High $91.20 | Professional | 52 · Reduced service | $30.20 | $66.07 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $26.92 Typical High $36.31 | Professional | 53 · Discontinued | $12.02 | $26.92 | $36.31 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $44.67 Median $100.00 Typical High $138.04 | Professional | 54 · Surgery only | $44.67 | $100.00 | $138.04 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.12 Median $19.95 Typical High $27.54 | Professional | 55 · Aftercare only | $9.12 | $19.95 | $27.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.03 Median $13.49 Typical High $18.20 | Professional | 56 · Pre-op care only | $6.03 | $13.49 | $18.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $41.69 Median $93.33 Typical High $128.82 | Professional | 78 · Unplanned return to OR | $41.69 | $93.33 | $128.82 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 59 · Distinct service | $100.00 | $100.00 | $100.00 |
Where Mississippi sits
The same service costs 3.8 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· 14th of 51
$120
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.