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 $114.82 Median $776.25 Typical High $1,995.26 | Facility | None | $114.82 | $776.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $257.04 Typical High $371.54 | Professional | None | $114.82 | $257.04 | $371.54 |
Ambetter Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None | $131.83 | $131.83 | $131.83 |
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 $281.84 Median $281.84 Typical High $281.84 | Professional | None | $281.84 | $281.84 | $281.84 |
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 $107.15 Median $190.55 Typical High $251.19 | Professional | None | $107.15 | $190.55 | $251.19 |
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 $102.33 Median $128.82 Typical High $257.04 | Professional | None | $102.33 | $128.82 | $257.04 |
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 $144.54 Typical High $181.97 | Professional | 52 · Reduced service | $56.23 | $144.54 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $57.54 Typical High $74.13 | Professional | 53 · Discontinued | $22.91 | $57.54 | $74.13 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $218.78 Typical High $275.42 | Professional | 54 · Surgery only | $85.11 | $218.78 | $275.42 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $43.65 Typical High $54.95 | Professional | 55 · Aftercare only | $16.98 | $43.65 | $54.95 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $28.84 Typical High $37.15 | Professional | 56 · Pre-op care only | $11.48 | $28.84 | $37.15 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $79.43 Median $204.17 Typical High $257.04 | Professional | 78 · Unplanned return to OR | $79.43 | $204.17 | $257.04 |
Where Mississippi sits
The same service costs 4.1 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· 11th of 51
$204
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.