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 $169.82 Median $758.58 Typical High $1,819.70 | Facility | None | $169.82 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $251.19 Typical High $380.19 | Professional | None | $112.20 | $251.19 | $380.19 |
BCBS Mississippi Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
BCBS Mississippi Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $134.90 Typical High $257.04 | Facility | None | $50.12 | $134.90 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $186.21 Typical High $281.84 | Professional | None | $114.82 | $186.21 | $281.84 |
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 $125.89 Median $186.21 Typical High $323.59 | Professional | None | $125.89 | $186.21 | $323.59 |
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 $56.23 Median $125.89 Typical High $190.55 | Professional | 52 · Reduced service | $56.23 | $125.89 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $50.12 Typical High $75.86 | Professional | 53 · Discontinued | $22.39 | $50.12 | $75.86 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $85.11 Median $186.21 Typical High $288.40 | Professional | 54 · Surgery only | $85.11 | $186.21 | $288.40 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $37.15 Typical High $57.54 | Professional | 55 · Aftercare only | $16.98 | $37.15 | $57.54 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $25.12 Typical High $38.02 | Professional | 56 · Pre-op care only | $11.22 | $25.12 | $38.02 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $79.43 Median $173.78 Typical High $269.15 | Professional | 78 · Unplanned return to OR | $79.43 | $173.78 | $269.15 |
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· 27th of 51
$200
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.