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 $186.21 Median $741.31 Typical High $1,819.70 | Facility | None | $186.21 | $741.31 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $416.87 Typical High $691.83 | Professional | None | $186.21 | $416.87 | $691.83 |
BCBS Mississippi Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
BCBS Mississippi Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $257.04 Typical High $758.58 | Facility | None | $208.93 | $257.04 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $346.74 Typical High $537.03 | Professional | None | $218.78 | $346.74 | $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 $91.20 Median $363.08 Typical High $1,148.15 | Facility | None | $91.20 | $363.08 | $1,148.15 |
United Setting Professional Modifier None Typical Low $208.93 Median $331.13 Typical High $537.03 | Professional | None | $208.93 | $331.13 | $537.03 |
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 $93.33 Median $208.93 Typical High $346.74 | Professional | 52 · Reduced service | $93.33 | $208.93 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $83.18 Typical High $138.04 | Professional | 53 · Discontinued | $38.02 | $83.18 | $138.04 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $141.25 Median $316.23 Typical High $524.81 | Professional | 54 · Surgery only | $141.25 | $316.23 | $524.81 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $63.10 Typical High $104.71 | Professional | 55 · Aftercare only | $28.18 | $63.10 | $104.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $18.62 Median $41.69 Typical High $69.18 | Professional | 56 · Pre-op care only | $18.62 | $41.69 | $69.18 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $131.83 Median $295.12 Typical High $489.78 | Professional | 78 · Unplanned return to OR | $131.83 | $295.12 | $489.78 |
Where Mississippi sits
The same service costs 3.5 times more in Alaska than in Maryland. 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
$398
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.