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 $114.82 Median $776.25 Typical High $1,995.26 | Facility | None | $114.82 | $776.25 | $1,995.26 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $257.04 Typical High $416.87 | Professional | None | $114.82 | $257.04 | $416.87 |
BCBS Mississippi Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
BCBS Mississippi Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None | $251.19 | $251.19 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $89.13 Typical High $338.84 | Facility | None | $50.12 | $89.13 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $190.55 Typical High $323.59 | Professional | None | $117.49 | $190.55 | $323.59 |
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 $316.23 Typical High $1,096.48 | Facility | None | $91.20 | $316.23 | $1,096.48 |
United Setting Professional Modifier None Typical Low $125.89 Median $218.78 Typical High $346.74 | Professional | None | $125.89 | $218.78 | $346.74 |
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 $57.54 Median $128.82 Typical High $208.93 | Professional | 52 · Reduced service | $57.54 | $128.82 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $51.29 Typical High $83.18 | Professional | 53 · Discontinued | $22.91 | $51.29 | $83.18 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $87.10 Median $194.98 Typical High $316.23 | Professional | 54 · Surgery only | $87.10 | $194.98 | $316.23 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $38.90 Typical High $63.10 | Professional | 55 · Aftercare only | $17.38 | $38.90 | $63.10 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.48 Median $25.70 Typical High $41.69 | Professional | 56 · Pre-op care only | $11.48 | $25.70 | $41.69 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $81.28 Median $181.97 Typical High $295.12 | Professional | 78 · Unplanned return to OR | $81.28 | $181.97 | $295.12 |
Where Mississippi sits
The same service costs 3.8 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· 15th of 51
$251
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.