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 $154.88 Median $758.58 Typical High $1,819.70 | Facility | None | $154.88 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $275.42 Typical High $380.19 | Professional | None | $112.20 | $275.42 | $380.19 |
Ambetter Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
BCBS Mississippi Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
BCBS Mississippi Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $144.54 Typical High $1,047.13 | Facility | None | $117.49 | $144.54 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $173.78 Typical High $257.04 | Professional | None | $131.83 | $173.78 | $257.04 |
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 $3,548.13 | Facility | None | $467.74 | $758.58 | $3,548.13 |
United Setting Professional Modifier None Typical Low $109.65 Median $147.91 Typical High $302.00 | Professional | None | $109.65 | $147.91 | $302.00 |
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 $138.04 Typical High $190.55 | Professional | 52 · Reduced service | $56.23 | $138.04 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $54.95 Typical High $75.86 | Professional | 53 · Discontinued | $22.39 | $54.95 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $204.17 Typical High $288.40 | Professional | 54 · Surgery only | $85.11 | $204.17 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $40.74 Typical High $57.54 | Professional | 55 · Aftercare only | $16.98 | $40.74 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $27.54 Typical High $38.02 | Professional | 56 · Pre-op care only | $11.22 | $27.54 | $38.02 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $79.43 Median $190.55 Typical High $269.15 | Professional | 78 · Unplanned return to OR | $79.43 | $190.55 | $269.15 |
Where Mississippi sits
The same service costs 3.9 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· 14th 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.