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 $316.23 Median $891.25 Typical High $1,995.26 | Facility | None | $316.23 | $891.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $691.83 Typical High $891.25 | Professional | None | $316.23 | $691.83 | $891.25 |
BCBS Mississippi Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
BCBS Mississippi Setting Professional Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None | $812.83 | $812.83 | $812.83 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $371.54 Typical High $660.69 | Facility | None | $295.12 | $371.54 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $562.34 Typical High $812.83 | Professional | None | $302.00 | $562.34 | $812.83 |
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 $3,981.07 | Facility | None | $302.00 | $616.60 | $3,981.07 |
United Setting Professional Modifier None Typical Low $371.54 Median $524.81 Typical High $933.25 | Professional | None | $371.54 | $524.81 | $933.25 |
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 $158.49 Median $346.74 Typical High $446.68 | Professional | 52 · Reduced service | $158.49 | $346.74 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $138.04 Typical High $177.83 | Professional | 53 · Discontinued | $63.10 | $138.04 | $177.83 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $234.42 Median $512.86 Typical High $676.08 | Professional | 54 · Surgery only | $234.42 | $512.86 | $676.08 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $102.33 Typical High $134.90 | Professional | 55 · Aftercare only | $46.77 | $102.33 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $31.62 Median $69.18 Typical High $89.13 | Professional | 56 · Pre-op care only | $31.62 | $69.18 | $89.13 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $218.78 Median $478.63 Typical High $630.96 | Professional | 78 · Unplanned return to OR | $218.78 | $478.63 | $630.96 |
Where Mississippi sits
The same service costs 5.1 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· 20th of 51
$575
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.