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 $177.83 Median $758.58 Typical High $1,819.70 | Facility | None | $177.83 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $537.03 Typical High $776.25 | Professional | None | $177.83 | $537.03 | $776.25 |
Ambetter Setting Professional Modifier None Typical Low $165.96 Median $309.03 Typical High $354.81 | Professional | None | $165.96 | $309.03 | $354.81 |
BCBS Mississippi Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
BCBS Mississippi Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $275.42 Typical High $562.34 | Facility | None | $223.87 | $275.42 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $295.12 Typical High $446.68 | Professional | None | $208.93 | $295.12 | $446.68 |
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 $1,819.70 | Facility | None | $302.00 | $616.60 | $1,819.70 |
United Setting Professional Modifier None Typical Low $177.83 Median $245.47 Typical High $501.19 | Professional | None | $177.83 | $245.47 | $501.19 |
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 $89.13 Median $269.15 Typical High $389.05 | Professional | 52 · Reduced service | $89.13 | $269.15 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $107.15 Typical High $154.88 | Professional | 53 · Discontinued | $35.48 | $107.15 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $407.38 Typical High $588.84 | Professional | 54 · Surgery only | $134.90 | $407.38 | $588.84 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $81.28 Typical High $117.49 | Professional | 55 · Aftercare only | $26.92 | $81.28 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $53.70 Typical High $77.62 | Professional | 56 · Pre-op care only | $17.78 | $53.70 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $125.89 Median $380.19 Typical High $549.54 | Professional | 78 · Unplanned return to OR | $125.89 | $380.19 | $549.54 |
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· 27th of 51
$288
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.