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 $112.20 Median $575.44 Typical High $1,819.70 | Facility | None | $112.20 | $575.44 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $338.84 Typical High $575.44 | Professional | None | $112.20 | $338.84 | $575.44 |
Ambetter Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None | $436.52 | $436.52 | $436.52 |
BCBS Mississippi Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
BCBS Mississippi Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None | $234.42 | $234.42 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $190.55 Typical High $1,047.13 | Facility | None | $154.88 | $190.55 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $190.55 Typical High $316.23 | Professional | None | $128.82 | $190.55 | $316.23 |
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 $467.74 Median $758.58 Typical High $5,370.32 | Facility | None | $467.74 | $758.58 | $5,370.32 |
United Setting Professional Modifier None Typical Low $117.49 Median $190.55 Typical High $426.58 | Professional | None | $117.49 | $190.55 | $426.58 |
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 $56.23 Median $169.82 Typical High $288.40 | Professional | 52 · Reduced service | $56.23 | $169.82 | $288.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $69.18 Typical High $114.82 | Professional | 53 · Discontinued | $22.39 | $69.18 | $114.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $83.18 Median $257.04 Typical High $436.52 | Professional | 54 · Surgery only | $83.18 | $257.04 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $51.29 Typical High $87.10 | Professional | 55 · Aftercare only | $16.60 | $51.29 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $33.88 Typical High $57.54 | Professional | 56 · Pre-op care only | $11.22 | $33.88 | $57.54 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $77.62 Median $239.88 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $77.62 | $239.88 | $407.38 |
Where Mississippi sits
The same service costs 3.8 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· 27th of 51
$234
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.