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 $162.18 Median $758.58 Typical High $1,819.70 | Facility | None | $162.18 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $229.09 Typical High $363.08 | Professional | None | $104.71 | $229.09 | $363.08 |
BCBS Mississippi Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
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 $128.82 Median $162.18 Typical High $524.81 | Facility | None | $128.82 | $162.18 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $169.82 Typical High $269.15 | Professional | None | $107.15 | $169.82 | $269.15 |
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 $2,884.03 | Facility | None | $302.00 | $616.60 | $2,884.03 |
United Setting Professional Modifier None Typical Low $112.20 Median $173.78 Typical High $288.40 | Professional | None | $112.20 | $173.78 | $288.40 |
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 $52.48 Median $114.82 Typical High $181.97 | Professional | 52 · Reduced service | $52.48 | $114.82 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $46.77 Typical High $72.44 | Professional | 53 · Discontinued | $20.89 | $46.77 | $72.44 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $77.62 Median $173.78 Typical High $269.15 | Professional | 54 · Surgery only | $77.62 | $173.78 | $269.15 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $34.67 Typical High $53.70 | Professional | 55 · Aftercare only | $15.49 | $34.67 | $53.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.47 Median $22.91 Typical High $36.31 | Professional | 56 · Pre-op care only | $10.47 | $22.91 | $36.31 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $72.44 Median $162.18 Typical High $251.19 | Professional | 78 · Unplanned return to OR | $72.44 | $162.18 | $251.19 |
Where Mississippi sits
The same service costs 3.6 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· 18th of 51
$229
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.