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 $323.59 Median $758.58 Typical High $1,819.70 | Facility | None | $323.59 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $501.19 Typical High $724.44 | Professional | None | $239.88 | $501.19 | $724.44 |
BCBS Mississippi Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
BCBS Mississippi Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None | $588.84 | $588.84 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $758.58 Typical High $1,445.44 | Facility | None | $630.96 | $758.58 | $1,445.44 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $389.05 Typical High $537.03 | Professional | None | $245.47 | $389.05 | $537.03 |
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 $3,090.30 | Facility | None | $467.74 | $758.58 | $3,090.30 |
United Setting Professional Modifier None Typical Low $269.15 Median $363.08 Typical High $676.08 | Professional | None | $269.15 | $363.08 | $676.08 |
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 $120.23 Median $269.15 Typical High $363.08 | Professional | 52 · Reduced service | $120.23 | $269.15 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $107.15 Typical High $144.54 | Professional | 53 · Discontinued | $47.86 | $107.15 | $144.54 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $181.97 Median $398.11 Typical High $537.03 | Professional | 54 · Surgery only | $181.97 | $398.11 | $537.03 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $79.43 Typical High $107.15 | Professional | 55 · Aftercare only | $36.31 | $79.43 | $107.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $53.70 Typical High $72.44 | Professional | 56 · Pre-op care only | $23.99 | $53.70 | $72.44 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $169.82 Median $371.54 Typical High $501.19 | Professional | 78 · Unplanned return to OR | $169.82 | $371.54 | $501.19 |
Where Mississippi sits
The same service costs 3.9 times more in Alaska than in Utah. 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· 15th of 51
$513
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.