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 $125.89 Median $776.25 Typical High $1,995.26 | Facility | None | $125.89 | $776.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $302.00 Typical High $691.83 | Professional | None | $125.89 | $302.00 | $691.83 |
Ambetter Setting Professional Modifier None Typical Low $112.20 Median $123.03 Typical High $295.12 | Professional | None | $112.20 | $123.03 | $295.12 |
BCBS Mississippi Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
BCBS Mississippi Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None | $323.59 | $323.59 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $112.20 Typical High $257.04 | Facility | None | $50.12 | $112.20 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $251.19 Typical High $457.09 | Professional | None | $162.18 | $251.19 | $457.09 |
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 $128.82 Median $257.04 Typical High $575.44 | Professional | None | $128.82 | $257.04 | $575.44 |
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 $63.10 Median $151.36 Typical High $346.74 | Professional | 52 · Reduced service | $63.10 | $151.36 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $60.26 Typical High $138.04 | Professional | 53 · Discontinued | $25.12 | $60.26 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $93.33 Median $229.09 Typical High $512.86 | Professional | 54 · Surgery only | $93.33 | $229.09 | $512.86 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $45.71 Typical High $102.33 | Professional | 55 · Aftercare only | $19.05 | $45.71 | $102.33 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.59 Median $30.20 Typical High $69.18 | Professional | 56 · Pre-op care only | $12.59 | $30.20 | $69.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $87.10 Median $213.80 Typical High $478.63 | Professional | 78 · Unplanned return to OR | $87.10 | $213.80 | $478.63 |
Where Mississippi sits
The same service costs 3.6 times more in Wisconsin 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· 21st of 51
$282
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.