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 $204.17 Median $758.58 Typical High $1,819.70 | Facility | None | $204.17 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $288.40 Typical High $501.19 | Professional | None | $120.23 | $288.40 | $501.19 |
Ambetter Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $158.49 | Professional | None | $112.20 | $112.20 | $158.49 |
BCBS Mississippi Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
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 $158.49 Median $194.98 Typical High $524.81 | Facility | None | $158.49 | $194.98 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $239.88 Typical High $426.58 | Professional | None | $158.49 | $239.88 | $426.58 |
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 $302.00 Median $616.60 Typical High $1,737.80 | Facility | None | $302.00 | $616.60 | $1,737.80 |
United Setting Professional Modifier None Typical Low $125.89 Median $234.42 Typical High $457.09 | Professional | None | $125.89 | $234.42 | $457.09 |
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 $60.26 Median $144.54 Typical High $245.47 | Professional | 52 · Reduced service | $60.26 | $144.54 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $57.54 Typical High $100.00 | Professional | 53 · Discontinued | $23.99 | $57.54 | $100.00 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $89.13 Median $218.78 Typical High $371.54 | Professional | 54 · Surgery only | $89.13 | $218.78 | $371.54 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $43.65 Typical High $74.13 | Professional | 55 · Aftercare only | $17.78 | $43.65 | $74.13 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $12.02 Median $28.84 Typical High $50.12 | Professional | 56 · Pre-op care only | $12.02 | $28.84 | $50.12 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $83.18 Median $204.17 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $83.18 | $204.17 | $346.74 |
Where Mississippi sits
The same service costs 3.6 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· 15th of 51
$269
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.