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 $229.09 Median $758.58 Typical High $1,995.26 | Facility | None | $229.09 | $758.58 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $436.52 Typical High $562.34 | Professional | None | $181.97 | $436.52 | $562.34 |
Ambetter Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
BCBS Mississippi Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
BCBS Mississippi Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,148.15 Typical High $2,187.76 | Facility | None | $660.69 | $1,148.15 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $295.12 Typical High $436.52 | Professional | None | $204.17 | $295.12 | $436.52 |
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 $190.55 Median $234.42 Typical High $501.19 | Professional | None | $190.55 | $234.42 | $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 $91.20 Median $218.78 Typical High $281.84 | Professional | 52 · Reduced service | $91.20 | $218.78 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $87.10 Typical High $112.20 | Professional | 53 · Discontinued | $36.31 | $87.10 | $112.20 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $331.13 Typical High $416.87 | Professional | 54 · Surgery only | $134.90 | $331.13 | $416.87 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $66.07 Typical High $83.18 | Professional | 55 · Aftercare only | $26.92 | $66.07 | $83.18 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.20 Median $43.65 Typical High $56.23 | Professional | 56 · Pre-op care only | $18.20 | $43.65 | $56.23 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $125.89 Median $309.03 Typical High $389.05 | Professional | 78 · Unplanned return to OR | $125.89 | $309.03 | $389.05 |
Where Mississippi sits
The same service costs 4.7 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· 9th of 51
$417
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.