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 $147.91 Median $758.58 Typical High $1,819.70 | Facility | None | $147.91 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $177.83 Typical High $323.59 | Professional | None | $95.50 | $177.83 | $323.59 |
Ambetter Setting Professional Modifier None Typical Low $141.25 Median $177.83 Typical High $288.40 | Professional | None | $141.25 | $177.83 | $288.40 |
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 $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
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 $95.50 Median $154.88 Typical High $239.88 | Professional | None | $95.50 | $154.88 | $239.88 |
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 $104.71 Median $158.49 Typical High $269.15 | Professional | None | $104.71 | $158.49 | $269.15 |
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 $46.77 Median $104.71 Typical High $162.18 | Professional | 52 · Reduced service | $46.77 | $104.71 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $41.69 Typical High $66.07 | Professional | 53 · Discontinued | $19.05 | $41.69 | $66.07 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $70.79 Median $158.49 Typical High $245.47 | Professional | 54 · Surgery only | $70.79 | $158.49 | $245.47 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $31.62 Typical High $48.98 | Professional | 55 · Aftercare only | $14.13 | $31.62 | $48.98 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $9.33 Median $20.89 Typical High $32.36 | Professional | 56 · Pre-op care only | $9.33 | $20.89 | $32.36 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $66.07 Median $147.91 Typical High $229.09 | Professional | 78 · Unplanned return to OR | $66.07 | $147.91 | $229.09 |
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· 20th of 51
$186
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.