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 $288.40 Median $758.58 Typical High $1,819.70 | Facility | None | $288.40 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $446.68 Typical High $645.65 | Professional | None | $234.42 | $446.68 | $645.65 |
BCBS Mississippi Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
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 $194.98 Median $239.88 Typical High $524.81 | Facility | None | $194.98 | $239.88 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $229.09 Median $363.08 Typical High $501.19 | Professional | None | $229.09 | $363.08 | $501.19 |
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 $257.04 Median $316.23 Typical High $616.60 | Professional | None | $257.04 | $316.23 | $616.60 |
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 $117.49 Median $245.47 Typical High $323.59 | Professional | 52 · Reduced service | $117.49 | $245.47 | $323.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $97.72 Typical High $128.82 | Professional | 53 · Discontinued | $46.77 | $97.72 | $128.82 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $177.83 Median $371.54 Typical High $478.63 | Professional | 54 · Surgery only | $177.83 | $371.54 | $478.63 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $74.13 Typical High $95.50 | Professional | 55 · Aftercare only | $35.48 | $74.13 | $95.50 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $23.44 Median $48.98 Typical High $64.57 | Professional | 56 · Pre-op care only | $23.44 | $48.98 | $64.57 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $165.96 Median $346.74 Typical High $446.68 | Professional | 78 · Unplanned return to OR | $165.96 | $346.74 | $446.68 |
Where Mississippi sits
The same service costs 4.7 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· 25th of 51
$363
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.