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 $263.03 Median $758.58 Typical High $1,819.70 | Facility | None | $263.03 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $398.11 Typical High $588.84 | Professional | None | $177.83 | $398.11 | $588.84 |
BCBS Mississippi Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
BCBS Mississippi Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None | $371.54 | $371.54 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $190.55 Typical High $363.08 | Facility | None | $50.12 | $190.55 | $363.08 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $288.40 Typical High $426.58 | Professional | None | $177.83 | $288.40 | $426.58 |
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 $812.83 Typical High $3,801.89 | Facility | None | $467.74 | $812.83 | $3,801.89 |
United Setting Professional Modifier None Typical Low $177.83 Median $263.03 Typical High $457.09 | Professional | None | $177.83 | $263.03 | $457.09 |
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 $89.13 Median $194.98 Typical High $295.12 | Professional | 52 · Reduced service | $89.13 | $194.98 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $79.43 Typical High $117.49 | Professional | 53 · Discontinued | $35.48 | $79.43 | $117.49 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $134.90 Median $295.12 Typical High $436.52 | Professional | 54 · Surgery only | $134.90 | $295.12 | $436.52 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $58.88 Typical High $87.10 | Professional | 55 · Aftercare only | $26.92 | $58.88 | $87.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.78 Median $39.81 Typical High $58.88 | Professional | 56 · Pre-op care only | $17.78 | $39.81 | $58.88 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $125.89 Median $275.42 Typical High $407.38 | Professional | 78 · Unplanned return to OR | $125.89 | $275.42 | $407.38 |
Where Mississippi sits
The same service costs 3.5 times more in Alaska than in Texas. 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· 16th of 51
$347
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.